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02126/2013 08 : 15 Advanced Geo[F romental Inc . " V)209 467 1118 P .001 /001 <br /> IZ <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ' I ENVIRONMENTAL HEALTH DEPARTMENT A1868 East Hazelton Avenue , Stockton , CA 95205-6232 <br /> (, `Telephone: (209) 488-3420 Fax: (209) 484-0138 Web: www.sjgov. org/ehd <br /> Fri z 201 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS : 837 Shaw Road CITYISTATEIZIP : Stockton / OA 195215 <br /> PHONE (1 ): 209.467-1008 PHONE (2): 209-623-7200 FACSIMILE, 209-467-1118 <br />'i TENTATIVE° APPOINTMENT DATE: A-Ap Time: <br /> (Pleaae allow to business days from date of application submittal - ' TentaeYe only - must be confirmed) <br /> l CHECK BOX TO EXPEDITE RrQ S� - `•"1 LG F OR C CK Y) - REQUEST PROCESSED IN 3 BUSINESS D Y9 <br /> SIGNATURE OF APPLIt;AN1'; , ff DATE (5 <br /> - - -. <br /> NIGutronic Information : ❑ i let ❑ Map � u0sceiption : <br /> FILE ADDRESS - BHD USH ONLY <br /> Street Street Name City 0 U01 <br /> 1 2 <br /> Pacific Avenue <br /> 2. ❑ unit <br /> 3A <br /> f Ir <br /> 4. Ucik s <br /> PISE, <br /> ¢J ✓t <br /> T. <br /> 8. 90 Unit $ <br /> 9. <br /> low rl Units <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE (NON•LOP) El FOOD FACILITY ❑ mss-ETIRE <br /> X❑ UNDERGROUND TANK (MOMTORINDIREMOVAL) ❑ Doe KENNEL ❑ DAIRY <br /> ® HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> x❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPERTRUCKIYARDICHEMICAL TOILETS <br /> ❑ TATTOO1500Y PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY - ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND. SEPTIC PERMIT RECORDS ARE AVAILAfiLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />{ 1 . List up to ten addresses In the spate above. Sleet the typs(s) of Piles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 4S4=O13B or mall tc the address Indicated above. Address <br /> ranges will not be accepted - for additional asalstence with file addressee, contact the EHD- Applications recalved 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 connimed approximately ten (10) <br /> days after receipt 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 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 Is avallablo. <br /> 4. Any the not returned In the same condition as released will be reorganized by EHD staff at the oxpanso of the applicant <br /> Future file reviews by the same applicant may require a $126 depoalt prior to review. <br /> 'Ej+6 'usEu�5C1•r' , <br /> fpUND0•ou olvtt <br /> Received Time Feb . 26. 2013 8 : 12AM No . 2403 <br />