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Jan. 24. 2008 4: 53PM A(k­nced GeoEiiv ' ronmEntal No. 0926P. 2/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> '-5 2f Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgo or <br /> r1O <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> -00"O&ANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnyironmental <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 REQ=$ Fa� CASH 7 CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT lze ^- DATE <br /> Electronic Information: E] List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ unit i <br /> 1. lqi6 Sou-�I' rovs-/I"nj Nye- Roc <br /> 2. to El Unit 2 <br /> 3. 1145 Wa C <br /> 4. 11,7,o UnIt3 <br /> ti <br /> 5. <br /> 7. LJ Unit 5 <br /> 9. <br /> L 10. 1 Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT OLID WASTE FAc[LITYNEHICLE <br /> C <br /> �gfll THER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY �IASTE TIRE <br /> ID, <br /> j,UND9RGROUND TANK(MONITOR NGIREMOVAL) 0 DOG KENNEL AIRY <br /> J9 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 11 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/13ODY PIERCING 11 POOLISPA El LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- 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 list above by checking the Appropriate <br /> box(es). At least one file type MUST be Selected. Fax to(2091464-0138 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 ton(10) <br /> days after receipt of application. The files will behold fora 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 an released will be reorganized by EHD 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 48-09 WEB 81912007 <br />