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------------- <br /> 0410212014 08:57 ;) P.0011001 <br /> i■ j <br /> �■ EHD LOG NUMBER,, 7 <br /> ■ <br /> %6EWED SAN JOAQUIN COUNTY }} <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT , �y t <br /> APH;.O 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH aq�� <br /> PERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced CeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA /95215 <br /> PHONE(1): 209.467-1006 PHONE (2): 209-623-7200 FACSIMILE: 209467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ARAP Time: <br /> (please allow 10 business days from date of application submittal-Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City OUnftl <br /> 1. .; <br /> 2. ,'Unit 2 <br /> 3. LodI l_l <br /> • f n te,(,t�(o.� ,.Unit 3 <br /> 4• 4219 E HarneyLn �K Lodi <br /> ❑Unit 4 <br /> 7. <br /> 8, Unit 8 <br /> 9. <br /> 10. Unit 8 <br /> Specific Date Range of Inforrnetlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x <br /> UNDERGROUND TANK(UST)CLEANUPSITE(LOP) ❑HOUSING ABATRAENTX❑SOLID WASTE FACILIiYNEHICLE <br /> X1 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> n UNDERGROUND TANK(MOMTORiNGIREMOVAL) ❑DOG KENNEL D DAIRY <br /> X❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACIUTY ❑MOTEUHOTEL ❑PLIWERTRUCKNARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA O LAND USE APPLICATION SITES <br /> ❑ MEDiCAL WASTE FACILITY ❑CowLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC P ERMT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Llat up to ten addresses In the apace above. Solea the type(a)of files from the Hot above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 12091484-0130 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after recelpt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. A file that is actively being worked on by FHD staff may not be immediately available for review. A new application may he <br /> submitted when the file Is available. <br /> 4. Any Me not retumed In the same conditlon as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the flame applicant may require a$125 deposit prior to review. <br /> EHD USF.ONLY <br /> EHD 40-00 <br /> Received Time Apr, 1, 2014 8:47AM No. 5W <br />