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❑❑❑ U I IUwcU I a IV.IV (fAX) P.0011001 <br /> O❑ . <br /> C� <br /> O❑❑ AC(El* � �,�J. EHD LOC NUMBER <br /> 13❑ ❑ U SAN JOAQUIN COUNTY <br /> JAN 0 8 2015 EN PATMENT <br /> 81 BONENTALEast Hazelton AEenueHStaoEktonRCA 95205-6232 �� r <br /> one: 209 468-3420 Fax: 209 64-013 <br /> F��1 ( ) ( )4 8 Web: www.sjgov.org/ehdW-11 <br /> ENVIRONMENTALPERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_Rebecca Natal BUSINESS/AGENCY: Advanc _d GenEnviranm 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 /> TENTAT/VE'APPOINTMENT DATE: 051-W Time: <br /> (Please allow 10 business days from d to of appilcation submittal-•TantaWe only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE S126,FEE(CASH K Y)- QUEST PROCESSED tN 3 B Ifs DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [:] List[:]Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Stroet Name City Unft 1 <br /> 1 4236 S State Rt 99 E Frontage Rd Stockton t t.,,✓) <br /> 2- 4236 Highway 99 or S Hwy 99 Stockton �N� un�ltz <br /> 3- 4520 Hiahwav 99 stockton1 i�,•�vw(u,► �i-E� �C� �( <br /> 4• 40.39 Clark Dr - Unit s w <br /> 6, <br /> 6. ��/� ! 0 lits <br /> 7. <br /> 8. <br /> Unit 6 <br /> S. <br /> 10. <br /> �❑Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSINGASATEMENT9❑SOLID WASTEFAaLTTYNEHICLE <br /> DOTHER CLEIWUPSITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> ❑x UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑x DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPERTRUCKUYARDICHENCALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE'FACILITY ❑X COMPI-AINTRECORDS ❑OTHER(PLEASE$PECIN <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW.. MONDAY-FRIDAY 8:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. Uat up to ten addresses In the space above. Select the typa(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 abu . 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 ten(10) <br /> days after receipt 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 pcUvely 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 an released will be reorganized by EHD staff at the expanse of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> I`HD 09e ONLY <br /> "HD 48.M <br /> X111 t <br /> Received Time Jan. 8. 2015 10: 03AM No. 7865 <br />