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03/2712014 11:21 P.0011001 <br /> r.. <br /> gircEiEHD LOG NUMBER <br /> � v�® SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 27 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone. (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd n <br /> EPERMITENTALH SL.THISEFIV'C ` <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavlta BUSINESSIAGENCY: Advanced GooEnvlronmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA /95215 <br /> PHONE(1): 209-467-10Q6 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST.$12:5,FE ( SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronlc Information: ❑ Llst❑Map—Description: <br /> FI LE A D D RESS EHD USE ONLY <br /> Street 9 Street Name City - -Unit 1 1 <br /> 1. NA- Site Name 'River Islands- Stewart Tract' Lathrop <br /> 2. APN 213-310-13 f Unit <br /> 3. <br /> 4• d/Unit3 <br /> 7. <br /> s• 0 Units <br /> 9. <br /> 10. p Unh 8 <br /> Specific Date Range of Infonnatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOU61NGABATEMENT x❑SOLID WASTEFAaLITYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON•LOP) ❑FOOD FACIMY QWASTETIRE <br /> Q UNDERGROUNDTANK(MONRORINWREMOVAL) ❑DOG KENNEL []DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Q WASTEWATERTREATMENT PLANT <br /> Q TIERFO PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKfYARDICHEMICAL TOILErs <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA M LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLUM SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REViM MONDAY-FRIDAY 8;00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List uo to ten addresses In the apace 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)4640138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addreseea,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 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 EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is avallabla. <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 /> FHD use ONLY <br /> CHD4" Will <br /> Received Time Mar, 27. 2014 11 : 11AM No. 5583 <br />