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,■� <br />ulruorc.uIa lulu <br />(rAX) <br />P.U01I001 <br />■ <br />Street ti <br />StrW Name <br />EHD LOG NUMBER <br />IN <br />4236 <br />SAN JOAQUIN COUNTY <br />Stockton <br />/ <br />Unit <br />JAN 0 S 2015 <br />ENVIRONMENTAL <br />AEenueH�DEPARTMENT <br />Highway 99 or S Hw 99 <br />StocktonEl <br />1 <br />st on CA 952056232 <br />Hi hwa 99 <br />EI4VIRONMENiAi.J�Whow (209) 468-3420 Fax, (209) 464-0138 Web: www.sjgov_org/ehd <br />®r. <br />4039 <br />PERMITISERVICES <br />6. <br />PUBLIC F <br />j,,I <br />`7 <br />RECORDS RELEASE APPLICATION <br />7. <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: AdVan . -d G _o nvironrn ental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA / 9521 <br />PHONE (1): (209) 467-1006 PHONE (2): (209) 623-7200 FACSIMILE: (209) 467-1118 <br />TENTATWE'APPOINTIVIENT DATE: 459-12 Time: <br />(Please allow 10 business days from d to of application submittal - •Tantatfve only - must bo Confinned) <br />❑ CHECK BOX TO EXPEDITE $125 FEE (CASH K Y) - QUEST PROCESSED IN 3 BL)SINEW DAYS <br />SIGNATURE OF APPLICANT DATE lZWA <br />r <br />Electronic Information: ❑ LI®t ❑ Map -- Deacrlptlon: <br />FILE ADDRESS <br />EHD USE ONLY <br />i <br />= Unit 1 <br />Street ti <br />StrW Name <br />City <br />1 <br />4236 <br />S State Rt 99 E Fronta a Rd <br />Stockton <br />/ <br />Unit <br />2- <br />4236 <br />Highway 99 or S Hw 99 <br />StocktonEl <br />1 <br />4520 <br />Hi hwa 99 <br />- Unit <br />4• <br />4039 <br />Clark Dr <br />6. <br />- Unit 4 <br />8' <br />7. <br />Unit 6 <br />8. <br />t q ,5 0 Unit 6 <br />10. <br />Specific Date Range of Infoninatlon Requested: From all to ' <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />xQUNDERGROUND TANK (UST)CLEANUP SITE (LOP) ❑ HOUSING AaATEMENT x❑ SOLID WASTE FACILrrYNEHICLE Ah) <br />x❑ <br />OTHER CLEANUPSrrE(NON-L0P) ❑FOOD FACILITY ❑x WASTETIRE <br />x❑ UNDERGROUND TANK (MONITORINGIRENIOVAL) ❑ DOG KENNEL ❑x DAIRY <br />Q HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />D TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPERTRUCKIYARDICHENIICALTOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOL/SPA ❑x LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS OTHER (PLEASE SPLCIM <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. LliLup to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to 12091464-0138 or mail to the address Indicated abam Address <br />ranges will not be accepted - for additional a55i6tance with file addresses, contact the EHD. Applications recelved after <br />3:00 pm will be processed the next busl nese day. <br />2. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that Is sctively being worked on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file is available. <br />4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $125 deposit prior to review. <br />EHD USE ONLY <br />!HO 4" <br />er111 t <br />Received Time Jan. 8. 2015 10:03AM No.7865 <br />