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REGEq,, * ' "'ll i- HQvance1 UeoLnvi r0flmenial IVO. LlL7 EHFL NUMBER <br /> AN JOAQUIN COUNTY <br /> ENV'IRO ` ENTAL HEALTH DEPARTMEN <br /> oog <br /> JUL 2 3 2008 600 Bast Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgo . e6 <br /> SAN JOA00IN COUNTY <br /> ENVIRONMENTAL PUBLIC RECORDS RELEASE APPLICATION <br /> ucneru:��v4RTMFNT. <br /> APPLICANT: Robert Marty BUSINESS/AGENCY: Advanced GeoEnvironmental, In <br /> ADDRESS: 837 Shaw Road, Stockton, CA <br /> PHONE(1): 209-467-1006- PHONE(2) 209-323-6499 FACSIMILE: 2119-467-1116 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> IM CHECK BOX TO EXPEDITE RE ST- _ (CASH O K ONLY)-REQUEST PROCESSED IN 3 BUSINEF DAYS <br /> SIGNATURE OF APPLICANT / DATE <br /> Electronic Information: (l List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> _ Street# Street Name City ❑ Unit 1 <br /> 1,117 Wert Fremont Street Stockton �} <br /> 2 612 North Buena Vista Stockton �<jT® ��,� ��'� El unit 2 <br /> 3. 1414 West_ Fremont Street Stockton `� � �� /� <br /> s <br /> 4, 601 - East Main Street Stockton e c�/�j� Unit <br /> 6. Unit 4 <br /> _...._. <br /> 7. ._ <br /> _ - - ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of information Requested: From All to :sniwI <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES y- <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT C3SOLID WASTE FACILITYNEHICLE <br /> 19 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE I " 7` t <br /> ® UNDERGROUND TANK(MONITORINOJREMOVAL)9- ❑DOG KENNEL ❑DAIRY 1�7 <br /> HAZAR13OUS WASTE GENERATOR D- ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY O MOTEL/HOTEL ❑PUMPER TRUCKNAROCHEM TOILETS <br /> ❑TATTOO/BODY PIERCING 13 POOLISPA LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:0.0 AM-S:OOPM - 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(20 8)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END,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 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 /> Fur file <br /> pplicant-FururB"file reviews by the sane applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> F ed h,-4o, <br /> a <br /> ?i 2 . +-t 1 &JmAof , <br /> 4;4ii7l <br /> EHD vdEB O 2W7: <br />