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0312012013 . 15:02 Advanced Ge iromental Inc. 7rAX)209 4671118 P.0011001 <br /> Iwoi <br /> -�; 7EHD LOG NUMBER <br /> AX, kcE ojn '� s~ j? SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AR 0 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 . <br /> Telephone: (209) 468-3420 Fax: (2 08)464-0138 Web:www.s]gov.org/ehd <br /> •r '- � <br /> )m"k�Leff ���jyy�ti !}}::SLf.�E�:TP``�.�..s(("'',+iE-A,_F�"�_ <br /> ES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUstNESSIAOENCY: Advanced GeoEnyironrrlental <br /> ADDRESS: 837 Shaw Road C ITYISTATE.0 P., Stockton.t CA 195215 <br /> PHONE(1): 209-467-1006 " PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENTDATE: ASAP" Time: <br /> (Please allow 10 business days from date of application submlttaf-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPIXITEE T-$125 i E RCE NLY)-REOU EST PROCESSED IN 3 B JSINES DAYS <br /> SIGNATURE OF APPLICANT DATE — = <br /> Electronic Information: ❑ List❑ Map—Des Ipti n; <br /> FILE ADDRESS F-HD USE ONLY <br /> street StreetName City ,u Unit'i <br /> 1• 21092 South'PIllsbtiry Road Manteca <br /> Z., 3597 East Louise Avenue Manteca ;'Unit2 <br /> 3. 2901 East Louise Avenue r Manteca <br /> 4- 2801 South Airport Way Manteca units <br /> Unit 4 <br /> 7. <br /> 8• 0 Unit 5 <br /> 9. <br /> 10. nit B <br /> Spaclfic Date Range of Informaflon Requested" From all to <br /> ENViRONMENTALM ALTH DEPARTMENT FILES <br /> x❑UNDERCRouNn TANK GIST)CLEANUPSI TE(LOP) ❑HOusiNia A9ATEMENT ❑x SOLID WAsTF FACILITYiVEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑X WASTE TIRE <br /> XD UNDERGA4UND TANK(MON ITORINGIREMOvAL) ❑Doo KENNEL` Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR [:]CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA Q"LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑OTHER(PLFAS'E SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE roRREwEw: MONoAY-FwDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY!) <br /> 1. List up to ten_addresees In tha space above. Select the type(o)of flies from the'llst above by checking the appropriate <br /> box(es). At least one Fite type MUST be selected. Fax to{20914640138 or mail-to.the"address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHi). Applications received after <br /> 3:00 pm will be processed the next business stay. <br /> 2. The EHD will notify the applicant If ariy EM13 files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after racelpt 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 la actively being worked on by EHD staff may not be Immedletely available for review. Anew application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the some 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$126 deposit prior to revlew. <br /> EHD USE ONLY - <br /> KHO M-00 <br /> Received Time Mar. 20. 2013 2: 58PM.N6.-2606 <br />