Laserfiche WebLink
0511412013 11:30 Advanced GeoEnviromental Inc. O:AX)209 4671118 P.0011001 <br />0 <br />DATE RECEIVED EHD LOCI NUMBER <br />p � AN JOAQUIN COUNTY <br />�'= <br />—ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205=6232 <br />MAY 14 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERWM/Gl~RVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced Geo Env! ron mental <br />ADDRESS: 837 Shaw Road CITY/STATEizIP: Stockton / CA/ 95215 <br />PHONE (1): 209-467-1006 PHONI± (2): 209-623-7200 FACSIMILE: 20.9-4.67-1118 <br />TENTATIVE" APPOINTMENT DATE: ASAP Time: <br />(Please allow 10 business days from date of application submittal - +TenteOve only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITER U T - $125 F :E ((ASH R K ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT _ ! DATE <br />Electronic Information: ❑ List ❑ Map —Description:' <br />FILE ADDRESS <br />EHp USE ONLY <br />Street 9 <br />Street Name <br />City <br />Unit 1 <br />1 • <br />1120 <br />E_ March Ln <br />Stockton <br />I U <br />4915 <br />Clowes St <br />Stockton <br />n A <br />allnit 2 <br />1206 f <br />E. March Ln <br />Stockton' <br />r. <br />4. <br />¢ <br />'E3 <br />® nit <br />S. <br />e <br />Unit 4 <br />7. <br />$• <br />Unit 6 <br />9. <br />10. <br />Unit e <br />Specific Data Range of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT El SOLID WASTE FACILITtYNEHICLE <br />® OTHER CLEANUP SITE (NoN•LOP) El FOOD FACILITY ® WASTE TIRE • S,05 <br />® UNDERGROUND TANK (MONrroRINGIREMOVAL). ❑ Doe KENNEL ® DAIRY-� <br />x❑ HAZARDOUS WASTE GENERATOR, ❑ CHICKEN RANCH ❑ WASTEWATERTREA ENT kANT <br />® TIERED PERMITTED FACILITYCill ❑ MOTELJHOTEL ❑ PUMPER TRUCKIYARD/CHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ® COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEw:. MONDAY -FRIDAY 8:00 AM-5: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(se). At least one file type MUST be selected. Fax to (209) 464-0138 or mall to the address 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 ten (1 D) <br />days after receipt of application. The flies 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 Immedlately 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 some applicant may require a $125 deposit prior to rpi. jk,7D <br />� � 1 � � I .� � .. > .i'Iil���n.s�re.�� � arssrr�►rs�rv�s� <br />F„0 4"15 <br />Received Time May.14. 2013 11:26AM No.3101 <br />arm <br />