Laserfiche WebLink
Feb. 10. 2010 10: 14AM Advanced GeoEnvironmental No. 6397 NUMBER <br /> v <br /> P 1 <br /> �TE Ntutivtu �/] a Ij LL; <br /> �`�� <br /> (r0 SAN JOA UI COUNTY EH <br /> INVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> �EB 1 0 204elephone: (209) 468-3420 Fax: (209) 464-0138 Web; www,sjgov.orglehd <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> I IV 1ULsJ <br /> APPLICANT: ALLY COLAVITA P, BUSINESSIAGENCY: ADVANCED GEOENVIRONMENTAL, INC <br /> ADDRESS.- 837 SHAW ROAD �Ly CITY/STATEIZIP.' STOCKTON <br /> Six.J <br /> PHONE(1), 209-467-1006 PHONE(2); 209-4B3-3401 FACSIMILE: <br /> TENT'A7'IVE*APPOINTMENT DATE: ASAP <br /> Time, <br /> (Please allow 10 business days from date of application submittal-*Tentafive only-must be confir <br /> CHECK BOX TO EXPEDITE REQUEST-$195 FEE OR CHECK ONLY)-REQUEST PROCESSED IN 3 BIUS.IN.E846 <br /> SIGNATURE OF APPLICANT <br /> DATE 02/10 1 <br /> Electronic,Information, [I List[I Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city [I Unit I <br /> 1- 145 NORTH F STREET STOCKTON <br /> 2. 149 NORTH F STREET STOCKTON El Unit 2 <br /> 3- 2435._ EAST WEBER AVENUE STOCKTON <br /> 4, 124 NORTH E STREET STOCKTON Unit 3 <br /> 5- 4171 INDUSTRIAL WAY TRACY <br /> 6. 4131 INDUSTRIAL WAY TRACY Unit 4 <br /> 7. 4110 INDUSTRIAL WAY TRACY <br /> S. Unit 5 <br /> 9. <br /> Unit 6 <br /> L10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL LSI <br /> l- ARTMENT FILES <br /> F1 <br /> X <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATE X SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY F1 WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) [I[)DO KENNEL [:1 DAIRY <br /> HAZARDOUS WASTE GENERATOR El CHICKEN RANCH El WASTEWATER TREATMENT PLANT <br /> TIERED PENITTED FACILITY ❑MOTELIHOTEL F1 PUMPER TRUCKWARDICHEMICAL TOILETS <br /> 0 TATToo/BoDy PIERCING ❑POOLISPA E:1 LANE)USE APPLICATION SITES <br /> E] MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00pm(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(2091464-0138 or mgII 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(10) <br /> days after receipt of application. The files will be hold 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> EHD 48-06 8/27/00 <br />