Laserfiche WebLink
0513112012 10:08 Advanced GeoEimental Inc. XkHD LOG NUMBER09 4671118 P.0011001 <br /> ATE RECEIVED SAN JOAQUIN COUNTY <br /> 'r�> ID ENVIRONMENTAL HEALTH DEPARTMENT �� <br /> 1J 600 East Main St, Stockton, CA 95202-3029 <br /> 2dWelephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 7 <br /> y <br /> NviRPNt�bSE �C >na PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally CDlavita BUSINESS/AGENCY:Advanced GeoEnvlronmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton I CA 196218 <br /> PHONE (1): 209-467-1006 PHONE(2):209-483-3401 FACSIMILE:208-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAPTime: <br /> (Please allow 10 business days from dabf a <br /> oppllcatlon submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK 60XTO EXPEDITE REQU 9T1-`7 25 FEE e19 OR HECIyQNLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT J /1 DATE 06131112 <br /> Eleetronlo Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City D Unit 1 <br /> 1, 841 West Blanch)Rd i Stockton <br /> 2. 4415 PacIfIC Ave pJ� Stockton p unit 2 ,- <br /> 3. 4405 PaclflcAve SS Stockton j (f <br /> 4. <br /> S, "Do not need LUST files(Unit 4)for the Irl✓t (`I"R Unit 9 <br /> g, Skes...only active UST Info(s.g., Cw n/ 6 r2� p UfIt4 <br /> 7, Inspections,testing,etc.) <br /> 9. Unit 8 <br /> 9. <br /> 10. Aj unit s <br /> Specific Data Range of Information Requested: From to <br /> ENVIRO�NMENTAL HHALTH DEPARTMENT FILES <br /> F-1UNDERGROUNDTANK(UST)CLEANUP SITE(LOP)iP ���-. ®HouslNa ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONRORINGIREMOvAL) Q DOD KENNEL ❑DAIRY <br /> WASTEWATER TREATMENT PLANT <br /> ®HA7ARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> ®TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMpEt TRUCKIYARDICHEMICALTOILET9 <br /> ❑T E131CA BODY PIERCING E]POOLISPA El LAND UsE I <br /> ON COMPLAINT RECORDS F]OTHER(PLEASE SPECIFY)TES <br /> ® MEDICAL WASTEFACILITT <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:09 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. <br /> List <br /> uD to ten addresses In the apace shove. Select the type(o)of filen from the 11et above by checking the appropriate <br /> ran <br /> II not be ac epfietadP for ddlUanal e m start 0 with til ddreaseer ontact the EHD gApplicat Ona recalyed attars <br /> 9:00 pm will b90 <br /> e processed the I102next business day. <br /> 2 dea after re n iit or ee aueauont ITh®n E III ba he d Tor a maxim m of five bvua nos(s days for review.es 0 be confirmed Appoin menttston(10) <br /> y P Pp <br /> EHD <br /> should be scheduled accordingly. <br /> 3. A file that le actively being worked an 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 filo 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> err <br /> AHD RDAD <br />