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Jan. 24, 2008 4 53PM Advanced GeoEhvironmental No, 0926 P. 212 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 0"1 Oft <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web:www.sjgo .or <br /> 1pji 2 U <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> h V t <br /> -00 6ANT; Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS- 837 Shaw Road Stockton, CA <br /> PHONE(1): 209 467-1006 PHONE(2): 209 483-3401 —FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUqT-$98 0 FJ71 ASH Oft.CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 6,<'7 J, DATE -T' <br /> Electronic Information: E] List E] Map-Description: <br /> .FILE ADDRESS EHD USE ONLY <br /> street# Street Name city AD ❑ Unit 1 <br /> 7. lqt� Soi .h' rev.3 'A . Ivc a 0, A <br /> 2. 1110 13 U'It25A <br /> 1'oefO I <br /> 3, <br /> -5 C <br /> t. <br /> 4. Zy'? <br /> �( 1� <br /> 07, <br /> 0 <br /> 6. Unit 4 <br /> "7. <br /> 4— Unit 5 <br /> Unit 6 <br /> of 10. <br /> I(U 0 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 5 <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT OLID WASTE FAcILITYNE141CLIF P.0THER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY ASTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)we 0 DOG KENNEL 5DAIRY <br /> X HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 11 MOTLLIHOTEL El PUMPER TRUCKfYARDICHEm TOILETS <br /> 0 TATTOWBODY PIERCING 13 POOLISPA 13 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RFviEw- MONDAY-FRIDAY 8:00 AM-6:00pm - EXCLUDING HOLIDAYS. <br /> 1. List up to ton addresses In the space above. Select the type(s)of files from the flat above by checking the Appropriate <br /> box(es). At least one file type MUST be selected. Fax 1!2 JZQ91 1§4-01 3a or mail to the iddrgligi Indicated 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 review will be confirmed approximately ton(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 now 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 /> EHD USE ONLY <br /> END 48-06 WEB 8/11=07 <br />