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■ <br /> 0212612014 11:25 P.0011001 <br /> ■■ DATE RECEIVEDC EHD LOG NUMBER <br /> ■■ SAN JOAQUIN COUNTY N :� <br /> �1 F `. `i ENVIRONMENTAL HEALTH DEPARTMENT ' <br /> .'. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FEB -2 6 2014 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> VIRONMIENTALHEALTHPUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoFnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton/ CA/95215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: A,9AP Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$1 ,/FEE(CASH OR CH K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ('%��W - DATE <br /> Electronic Information: ❑Liat❑Map.-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1550 West Fremont Street Stockton � <br /> 2• 1560 West Fremont Street Stockton : Unit2 <br /> 3- 1618 West Fremont ret Stockton <br /> 4. ElUxnit3 <br /> 6. <br /> 6. Unit 4 <br /> 7. <br /> 8. Unit 5 <br /> 2- <br /> 10. Untt 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTx❑SOLID WASTE FACILITYNEHICLE NO <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑Fool)FACILITY Q WASTE TIRE <br /> Q UNDERGROUND TANK(MONIfORINGIREMDVAL) ❑DOG KENNEL ❑DAIRY <br /> 7 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATERTREATr&NT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEWCALTOILETS <br /> ❑TATT001BODY PIERCING ❑POOUSPA D LAND USEAPPLICATION SITES <br /> ❑ MEDiCALWASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Llst uo 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. rax to 12091454-0138 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 wlll behold 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 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 some applicant may require a$125 deposit prior to review. <br /> EHO USE ONLY <br /> -0s enr <br /> Received Time Feb, 26, 2014 11 : 17AM No. 5283 <br />