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1110512010 17:22 Advanced GeoEnviromental Inc. OW)209 467 1118 P.001fool <br /> n �VED EHD LOG NUMBER <br /> n� 0 SAN JOAQUIN COUNTY <br /> NAV 0 g 2p1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> n� 600 East Main St, Stockton, CA 95202-3029 I-M) <br /> M(ris t�Ge_ elephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> P PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ Ally Colavita BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP. Stockton, 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: 45A-E Time: <br /> (Please allow 10 business days from date of application submittal-*7-antattve only-must be confirmed) <br /> ®CHECK BOX TO EXPEDITE REQUEST-$122 FEE(C I OR ECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11 I SII o <br /> Electronic infonnatlon: ❑ List❑Map—Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Straot f! Street Name City12 <br /> 1C"f <br /> 1. Z 5-fa� o US Tvl <br /> Z, p E• .._ '` ( ,5 e Cl <br /> 1" nit z <br /> 3. .23 f ,au Ave- 'N 1.—,iN°C J � <br /> 4. .`L GLGi .G AlN7 nit3 <br /> 6• <br /> 730.3 F0_ ; i c Ave— " nit 4 <br /> 17. <br /> 6. <br /> NtS <br /> 9. <br /> 10. fill 6 <br /> 8poclflc Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES C� <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT p SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY x❑WASTE TIRE )6 <br /> ®UNDERGROUND TANK(MONr[ORINO/REMOVAL) ❑DOG KENNEL ®DAIRY <br /> ®HAZARDOUS WASTE GENERATOR t3L ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ©TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLBA88 SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARt AVAILABLE FOR Ravlpw: MONDAY-FRIDAY 8:00 Am-9:00PM(ExCLUDINc HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(*)of files from the list above by checking the appropriate <br /> box(ss). At least one file type MUST be selected. fax fg(22$)464-0138 or mail 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 flies 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 /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> GHD URC ONLY <br /> a <br /> 710tj 1 _ 5. <br /> �'Y.fi /Yf Fair t 13 <br /> 11 r � 019 cla+gel -71�Sjtoq. <br /> - <br /> EHD 46.00 07/49110 <br />