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02/26/2013 08 : 15 Advanced GeoF lromental Inc . ® "':AX)209467 '1118 P .0011001 <br /> Rw r r <br /> U 6HD LOG NUMBER <br /> GATE RECEIVED SAN JOAQUIN COUNTY y � <br /> ENVIRONMENTAL HEALTH DEPARTMENT �( <br /> 1668 East Hazelton Avenue, Stockton, CA 95205-6232 r <br /> B „ 2Q 1� Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov. org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeOEnvIronmental <br /> ADDRESS: 837 Shaw Road CITY/3TATEIZIP: Stockton / CAI 95215 <br /> PHONE (1 ): 209467-1006 PHONE (2): 209-6234200 FACSIMILH: 209467-1118 <br /> -TENTATIVE°APPOINTMENT DATE: AgAp Time: <br /> (Pleaea allow 10 business days from date of application submittal - 'YepiaGYe only- must be confirmed) <br /> CHECK BOX TO EXPEDITE RAF 8 - $125F OR C CK Y) - REQUEST PROCESSED IN 3 BUSINESS D Y9 <br /> SIGNATURE OF APPLICANT ' DATA ��_ <br /> _ = -- <br /> I4etraomtBe Inforlalatlan : ❑ ( Pet ❑ Map = Description : <br /> FILE ADDRESS HHD HBh OMLY <br /> street Street Name City 1-1 Unit <br /> 1 • 6230 Pap' v n $tQrklon <br /> 2. f 'n l ❑ Unit 2 <br /> 4. > ' Its <br /> S. fee <br /> 6. { IFA3 ✓� RQ/ f nit ;° <br /> 8, C7 Unit S <br /> b. <br /> 1o. - --- — El UnIto <br /> Specific Onto Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ® SOLID WASTE FACILRYiVEHICLE <br /> Q OTHER CLEANUP SITE (NON•LOP) ❑ Food FACILITY ❑ WASTE TIRE <br /> x❑ UNDERGROUND TANK (MOMTORINOIREMOVAL) ❑ DOG KENNEL - ❑ DAIRY <br /> R1 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> ® TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑ TATTOOMODY PIERCING ❑ POOLISPA _ ❑ LAND USEAPPLICA71ON SITES '.. <br /> ® MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND, SEPTIC PERMIT RECORDS ARE AVAILAfiLE POR REVIEW: MONDAY=FRIDAY 0:00 Ana-8:D0PM (ExCLUDING HOLIDAYS) <br /> 1 . List un to ten addresses In the apace above. Select the type(s) of flies from the list above by checking the appropriate <br /> box(ee). At least one file type MUST be selected. Fax tc (2091464 01 U6_or mall to the address Indlcafod Above Address <br /> ranges will not be accepted - for additional assistance with file addressee, contact the EHD. Applicatlona received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notliy the applicant If any EHD files exist An appointment for ravlow will be confirmed approximately ton (10) <br /> days after mcelpt of application. The files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A flee 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 avallable. <br /> 4. Any His 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 $126 deposlS prior to review. <br /> .eHD4"0 ulHl <br /> Received Time Feb . 26, 2013 8 : 12AM Nov 2403 <br />