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INS 1011312014 17:01 • (FAX) P.0011001 <br /> 1s <br /> •. EHD LOG NUMBER <br /> I�RO rr - SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 1 ZQ�� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 /57 7 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/e d <br /> ENVIRONMENTAL HEALTH ri n n <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATICIFILE ljuivi- <br /> APPLICANT:—Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS: , '-837 Shaw Road CITY/STATE/ZIP: Stockton /CA /95215 <br /> PHONE(1): 209-487-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE:ASAP Time: <br /> (Please allow 10 business days from ate o appil—cation submittal-"7entat(ve only-must be con <br /> ❑ CHECK BOX TO EXPEDITE RE •$125 FEE( O C C Y)-REQUEST PROCESSED IN 3 BUST ESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑List❑Map–Descrlptl n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city p4nit 1 <br /> - 740 North Cluff Ave Lodi <br /> 2. $02 North Cluff Ave Lodi Unit2 <br /> I 2 <br /> 3- 1333 .Ea Turner Rd x Lodi Z <br /> 4. qH q "jQ qqq3 / nit <br /> Unit d <br /> io�z1 <br /> 7. <br /> 8, Unit 6 <br /> 1 p, DC7 Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVRRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ®SOLID WASTE FAciLrrYNEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑FODD FACILfTY Q WASTETIRE <br /> XI UNDERGROUND TANK(MONIToRINGIREMOVA0 ❑DOG KENNEL El DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL.TOILETS <br /> ❑TATTODIBODY PIERCING ❑POOL ISPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILLIY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIN <br /> WELL AND SEPTIC PERMIT RF-CORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses In the space above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At leant 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. Appllcatlor s received after <br /> 3:00 pm will be processed the noxt 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 behold 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-08 eN111 <br /> Received Time Oct. 13, 2014 4:45PM No. 7321 <br />