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A■ V 11 1tira.vI + ��.�� (rax) P.001I001 <br /> ■ <br /> ■ <br /> � � DA s Iy RE I�D� EHD LOG NUMBER <br /> ■ L-111SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN 1.1 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov,org/ehd <br /> V f'SN'p&Ev HEAL—CE <br /> PEHMi[T/SeriV i t•.-,s <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GecEnvlrcnmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA /95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209--623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-'renteave only-must be corrflrmed) <br /> ❑ CHECK BCX TO EXPEDITE REQUEST-$1FEE SH C C ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> � k <br /> SIGNATURE OF APPLICANT v 25 DATE I hL4 J IL! <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Str"t Name city _ Unft 1 <br /> 1- 12431 Mariposa Road J' Stockton <br /> =�::]2 <br /> 2. 2467 Mari osa Road Stockton �4 <br /> 3• 2501 S. Route 99 W, Frontage Rd: Stockton J <br /> 4 2459 Mariposa Road Stockton F�c1 � Unit3 (; <br /> 5- 2373 Mariposa Road ✓ Stockton I�01' V'' <br /> B 2701 South Highway 99 Stockton G, dUnit4 ;I <br /> 7- 2327 Mariposa Road ✓ ✓ Stockton Pt <br /> B. 2447 Mariposa Road Stockton ' [],Unit <br /> 9. <br /> 110. �� � .(�I LSI ! <br /> / p Unit 8 <br /> Speclflc Date Range of Information Requested: From all to ` <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITY/VEHICLE aC �UU- <br /> F OTHER CLEANUP SITE(NDN-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY L <br /> X1 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED P ERf=D FACILITY ❑M OTEL/H OTEL ❑PUMPER TRUCWYARDIC HEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑PWLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFIC <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten oddreases In the apace above. Select the type(s)of files from the list above by checldng the appropriate <br /> box(e9). At least one file type MUST be selected. Fax to(209)484-0138 or mall to the addror&Ind <br /> lcatL-d above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact tha 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 receipt of application. The flles will behold for a maximum of five bualness days for review. Appointments <br /> should ba scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immedlately 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 /> FHO USE ONLY <br /> EHD 48-00 ' <br /> 8/1/71 <br /> .eived Time Jan, 14. 2014 9:01AM No. 4997 <br />