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Jan . 26 , 2010 10 : 24AM Adv.�.need Geohvi ronmental No , 6332 P . 1 / 1 <br /> " " q// I � D USAN JOAQUIN COUNTY � EHD LOG NUMBER <br /> LJ4i�v 2 6 2L101O0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton , CA 95202-3029 <br /> ENVIRUNr LUT HEALTNephone: (209) 468-3420 Fax: (209) 464-0138 Web : www.Sjgov, org/a1Nd <br /> PERMIT/SERVICE PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ARTHUR DETCKE BUSINESSIAGENCY: ADVANCED GEOENVYRO1MNT4xL, INC <br /> ADDRESS ' e37 SHAW ROAn CITY/STATEIZIP: sTOCKfoN, CA 9521s <br /> PHONE (1 ) : 209 -967 - 1006 PHONF (2) 209 - 323 - 6997 FACSIMILE: 209 -967 -I118 <br /> rENrArIVE" APPOINTMENT DATE: Time: <br /> (Please allow 1D business days from date of npplicatlon submittal - "Tenfatiye only • must be confirmed) <br /> ❑ CHECK BOXTO EXPEDITE REQUEST - $115 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 25 JANUARY 2010 <br /> Electronic Information : ❑ List ❑ Map — Description : <br /> _ FILE ADDRESS EHD USE ONLY <br /> street A 511met Name City1i Unit <br /> 1 , 6230 PACIFIC AVENUE STOCKTON <br /> 21 El UnR2 <br /> 46 <br /> nit 3 <br /> 5 <br /> nl <br /> 7. <br /> units <br /> 10, ❑ Unit 6 <br /> Specific Date Ranee of Information Requested: From 1991 F to 2009 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILMYNEHICLE <br /> ❑ OTHER CLEANUP SITE (NON•LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br /> �R UNDERGROUND TANK (MONITORINGIREMOvAL) ❑ DOG KENNEL ❑ DAIRY <br /> ){x] HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WA5TEWATERTREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> ❑ TATTDOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8 :00 AM'5 :00PM (EXCLUDING HOLIDAYS) <br /> 1 . List un to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 41640130 or mail to the address Indicated above. Address <br /> ranges will not be accepted - for additional assistance with file addresses, confacfthe 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 FHD hies "16L An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will behold 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 available. <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 $116 deposit prior to review, <br /> 5, If you need further assistance, please contact Diane Martinez, at (209) 400-3425. <br /> EHe Use ONLY <br /> EHD 4e-0s 8/27109 <br />