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Apr . 8 . 200 ION Rdvp ed GeoEovironmental PIo . 1656 P . 2 <br /> LATEG,E EHD LOG NUMBER <br /> SAN JOAQ UIN COUNTY <br /> u <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 4' <br /> O ; 000 600 East Main Street, Stockton, CA Web ; <br /> w w.a;0K <br /> t,N; i)P.U�yp�9EPIT HEALTI�elephone : (209) 468.3420 Fax! (209) 464- 0138 Web ; www. jgov g e <br /> ��(:. ;,,gIT� SEFUICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert Marty BUSINESSIAGENCY: Advanced GeOEnvironttlental , Inc , <br /> ADDRESS: 837 Shaw Road , StoCktan , CA 95215 <br /> PHONE (1 )I 209 . 467 . 1006 PHONE (2): 209 . 969 . 3239 FACSIMILE: 209 . 467. 31} e , •, <br /> TENTATIVE'" APPOINTMENT DATE: Time: <br /> (1510940 elloW 10 business days from date of application submittal - "Tentative only - must be confirmed) <br /> - <br /> CHECK BOX TO EXPEDITE RE UEV y$98 O. F, E (CASH O CHECK ONLY) - REQUEST PROOESSED IN 3 BUSINESS DAY , <br /> �- <br /> 7 04 - 07 • *. ' • • <br /> SIGNATURE OF APPLICANT i � `��� L I DATE <br /> Electronic Information : ❑ List ❑ Map — Description : <br /> FILE ADDRESS END USE ONLY <br /> Street # Street Name_ City Unit 1 <br /> 6230 Pacific Avenue L Stockton <br /> 2 248 East Park Street Stockton <br /> 3, <br /> 4 Unit 3 \ <br /> 8 Unit 4 <br /> 7. <br /> ----.. ❑ units <br /> 9. <br /> ._.__ ❑ Unit <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> �I ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br /> THER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br /> NOERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> )iAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILIYY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> 171 TATTO011BODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITE$ <br /> Cl 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 up 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) 464-0138 or mail to the address Indicated above, Address <br /> ranges will not be accepted — for additional assistance with flle addresses, contact the END, Applications received after <br /> 3:00 pm will be processed the next business day, <br /> 2, The END will notify the applicant If any END files exist, An appointment for review will 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 END 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 END staff at the expense of the applicant, <br /> Future file reviews by the same applicant may require a $98,00 deposit prior to review, <br /> END USE ONLY <br />