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05123/2013 10 .03 Advanced GeoEwi romental Inc . AAX)209 467 1118 P.002i002 <br /> 17AT�R CEIVED EHD LOG NUMBER <br /> 1 SAN JOAQUIN COUNTY <br /> ` �a �p ENVIRONMENTAL HEALTH DEPARTMENT41 <br /> 1"l fid ! 1868 East Hazelton Avenue, Stockton, CA 9b205-8232 ' <br /> Telephone: (209) 468-3420 Fax: (209) 4644138 Web : www.sjgov,org/ehd <br /> MAY 2 3 2013 , <br /> ENIfl'1r ONMENTAL=LTH PUBLIC RECORDS RELEASE APPLICATION <br /> —sol�r <br /> APPLICANT: Kim Burchard eUSINESSIAGENcv: Advanced GeoEnvironmentai <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA 195215 <br /> PHONE (1): 209 467-1006 RHONE (2); 209483-3401 PACSiMiLE: 209467-1118 <br /> TENTATIVE` APPOINTMENT DATE: ASAP Tirne: <br /> (Please allow 10 business days from date of application submittal • 'Tenfatfve only - must be oonfirmed) <br /> ® CHECK BOX TO EXPEDITE RE U ST - $1 EE (C $H OR C ECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT L DATE 05/22/13 <br /> Electronic Information : [] List i] Map – Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City Unit 9 <br /> 1 • 5230 PACIFICAVENUE STOCKTON <br /> �• <br /> Wo 3203 3 � unuz <br /> 31 <br /> 4. 49 <br /> � ' unit <br /> _ II � Unit4 <br /> 7. <br /> S• - - Unit5 <br /> 0. <br /> 10. Unit 6 <br /> Specific Date Ran®o of Information Requeatedi From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILUS <br /> X® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® HOUSING ABATEMENT M SOLID WASTE FACILITYNEHICLE <br /> OTHERCLEANUP SITE (NON-LOP) [ FOOD FACILITY Z WASTETIRE <br /> X UNDERGROUND TANK (MONITomNOIREMOVAL) ® Doe KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERATOR _ ❑-I CHICKEN RANCH ® WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY . LJ MOTELiHOTEL ❑ PUMPERTRUCKIYARDICHEMICALTOILETS <br /> ❑ TATTOOISODY PIERCING ® POOLISPA Q LAND U13E APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY E COMPLAINT RECORDS ® OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILADLE FOR REVIEW: MONDAY-FRIDAY $ :00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List un to ten addressee In the apace above. Selectthe type(®) of files from the list above by checking the appropriate <br /> box(as). At least one file typo MUST be selected. Fax to (2091464=0139 or mall to the address Indlcatad above, Address <br /> ranges will not be accepted - for additional assistance with file addresses, contact the 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 revlewwlii 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 actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file 15 available. <br /> 4. Any Nle not returned In the same condition as released will be reorganized by EHD staff at the expense of the appllcant, <br /> Future file reviews by the same applicant may require a $125 deposltprior to review. <br /> RHO WE ONLY <br /> Received Time May , 23. 2013 9 : 59AM No . 3169 a "' <br />