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jan, 24. 2008 4: 53PM Adv,'ced GeoEnvii,ommental No, 0926P. 212 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 1 !)" ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 5 Telephone: 468-3420 Fax:V: 2 010 or <br /> ne: ( ax: (209)464-0138 Web:www.sj� 0 3 <br /> PUBLIC RECORDS RELEASE APPLICAM <br /> K <br /> App�dC`?�N-T�: Ally Colavita BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw RQad Stocktqn, CA <br /> PHONE(1): 209 467-1006 -PHONE(2): 209 483-3401 —FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE:'TImo: <br /> (Please allow 10 business days from date Of aPPlIcat-011 submittal--Tentfwe only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQU T•$88 0 FCASH C R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> ago <br /> Electronic Information: F1 List El Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city 11 Unit I <br /> Igib sou�k COVS,/)1'Pil 17ve- .gtoc'iL� Ity A;1 <br /> 2. INKY.. . Pra- UnIt2 <br /> iv.,4 <br /> 1%1-5 <br /> .4. 1 j'20 Wei+ ?If'Unit 3 <br /> 0 1-4) <br /> 13. <br /> '76r'ili4 (Iy\ <br /> 7. <br /> Unit 5 <br /> 10. Unit 8 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ; UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 173 HOUSING ABATEMENT OLID WASTE FACILITYNEHICLE <br /> U_!�f,PITHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ASTEnRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) El DOG KENNEL �,D(AIRY <br /> X HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH 171 WASTEWATER TREATMENT PLANT <br /> ED TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEm TOILETS <br /> 0 TATTOOIBODY PIERCING 11 POOLISPA C3 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> - WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-6:00pm - EXCLUDING HOLIDAYS. <br /> 1. List up to ton 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(2091464-0138 or mail to the address Indigated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,Contact the EHD.Applications received atter <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 ton(10) <br /> days after receipt Of application. The files will behold fora 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 now 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 49-09 WEB 8l9/2007 <br />