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Feb- 10. 2010 10: 14AM Advanced GeoEnvironmental No, 6397 P I <br /> DATE Ktutivtu EHL NUMBER <br /> FO-) � 0 SAN JOAQUIN COUNTY 41 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> f-:EB 1 0 204elephone: (209)468-3420 Fax: (209) 464-0138 Web: WWW.Sjgov,org/ehd <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> I IV IVL%J <br /> APPLICANT: ALLY COLAVITA )r7�P Aff, Anh BUSINESS/AGENCY: ADVANCED GEOENVIRONMENTAL, INC <br /> ADDRESS: 837 SHAW ROAD CITY/STATE/ZIP: STOCKTON <br /> PHONE(1), 209-467-1006 PHONE(2); 209-4E33-3401 FACSIMILE:209=4- <br /> TEN7'ATIVE*APPOINTMENT DATE: ASAP Time, <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confit <br /> CHECK BOX TO EXPEDITE REQUEST-$1,15 FEE( S R CHECK ONLY)-REQUEST PROCESSED IN 3 BUS'1'N'E89 -.' <br /> SIGNATURE OF APPLICANT <br /> �Zx DATE 02/10/*16-' ' _ <br /> LElectronic Information; F1 List E]Map—Description., <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name city [I Unit I <br /> 11, 145 NORTH F STREET STOCKTON <br /> 2. 149 NORTH F STREET STOCKTON El Unit 2 <br /> 3- 2435RAST WEBER AVENUE STOCKTON <br /> 4, 124 NORTH E STREET STOCXTON ZUnit 3 <br /> 5- 4171 INDUSTRIAL WAY TRACY <br /> 6. 4131 INDUSTRIAL WAY TRACY Xnit;4 <br /> 7. 4110 INDUSTRIAL WAY TRACY <br /> WN <br /> Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL H X LT34 ARTMENT FILES <br /> "n"UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSING AGATE NT X SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY E]WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL El DAIRY <br /> HAzAlRuous WASTE GENERATOR ❑CHICKEN RANCH F]WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL E]PUMPER TRUCKWARDICHEMICAL TOILETS <br /> D TATTOOIBODY PIERCING El ❑ <br /> POOLISPA L1 LAND USE APPLICATION SITES <br /> El MEDICAL WASTE FACILITY F]OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE roR 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(2091464-013gormail tgthe address indicated above. Address <br /> ra ngcs 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$OMO 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 contaut Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> EHD 48-06 8/27/09 <br />