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W _ <br /> 05123 2013 10 :03 Advanced GeOEPomental Inc. „ AX)209 467 1118 Po002i002 <br /> ATE RECEIVED EHD LOG NUMBER <br /> N SAN JOAQUIN COUNTY <br /> C9NVIRONMENTAL HEALTH DEPARTMENT <br /> HUGE ED 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br /> Telephone: (209) 468-3420 Fax: (209) 4644138 Web : www.sjgov.org/ehd <br /> MAY 2 3 2013 <br /> FN1Ni10NMENTALHEALTf1 PUBLIC RECORDS RELEASE APPLICATION <br /> - <br /> I APPLICANT: Kim Burchard BUSINESS/AGENcv: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road C)TY/STATEitIP: Stockton / CA / 95215 <br /> PHONE (1): 209-487-1006 PHONE (2). 209483-3401 FACSIMILE: 209-467-1118 <br /> mmmmmmmmmu <br /> TENTAT/VVAPPOINTMENTDATE: ASAP Time: <br /> (Please allow 10 business days from date of appilcatlon submittal - 'Tentative only - must be confirmed) <br /> ® CHECK BOX TO EXPEDITE RE UST - $1 EE (C SH OR C ECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L DATE 05/22/13 <br /> Electronic infortnation : ❑ List ❑ Map ® Description: <br /> FILEADDRESS EHD USE ONLY <br /> Street # Streak Name city _ OEI Unit1 <br /> 1 , 5230 PACIFIC AVENUE PUK. STOCKTON <br /> i 2. Wo / 32b3 �7 35 (unit2 <br /> 3. <br /> 4. ri <br /> i ' Unit 3 <br /> ars <br /> S^ Ll Units <br /> 0. <br /> 100 Unit P <br /> Spoelflc Date RanOo of Information Requested: From all to <br /> r=NVIRONNIENTAL HEALTH DEPARTMENT FILES <br /> iJ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING A13ATEMENT 0 SOLID WASTE FACILITYNENICLE <br /> ® OTHER CLEANUP SITE (NON-LOP) L] FOOD FACILITY ❑ WASTE TTIRE <br /> x❑ UNDERGROUND TANK (MONrfORING/REMOVAL) ❑ b00 KENNEL Q DAIRY <br /> �X❑l HAZARDOUS WASTE GENERATOR E] CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> u TIERED PERMITTED FACILITY " ❑ WTELiHOTEL ❑ PUMPER TRUCKIYARD/CHEMICALTOILETS <br /> ❑ TATTOO/EODY PIERCING ❑ POOLiSPA LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTEFACILITY ® COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-G:OOPM (EXCLUDING HOLIDAYS) <br /> 1 . List up to ten addresses In the apace above. Selectthe type(s) of Rlea from the Ilat above by checking the appropriate <br /> box(a a). At least one fila type MUST be selected. Fax to (209) 464.0138 or mall to the address Indlcated above. Address <br /> ranges will not be accepted - for additional assistance with file addresses, contactthe 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 EMD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after rocelpt 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. Anew application maybe <br /> submitted when the file-Is avallable, <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 /> EH13 DOE ONLY <br />'� Rec}ei'"ved Time May . 23 , 2013 9 : 59AM No . 3169 s 'Int <br />