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ULIU/ILUIL Ub:L/AOvanceQbeotnviromentalInc. WAAKVDyar ilio r.wIrwI <br /> DATE RECEIVED 1=1`11.)LUIS NUMutK <br /> SAN .IOAQUIN COUNTY `„� <br /> , IEC ��' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 800 East Main St. Stockton, CA 95202.3029 <br /> F€B (}7 Z�jjelephone: (209)488-3420 Fax: (209) 464-0138 Web:vvww.sjgov.orglehd <br /> Et4%,qR aMM 1SERV SLTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavlta BUSINESS/AGENCY: Advanced Geol~nvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP:Stockton I CA/96215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-483.3401 FAC81MIL.E:209.467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only•must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 F E(CAO HECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTCL`.� DATE 02107/12 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 1803 N.Funston Avenue 1114:7f Stockton <br /> 2. 1808 N.Wilson Way t Stockton unit 2 <br /> 3. Itiv N.WiisonWay Stockton <br /> 4. 2007 N.Wilson Way — Stockton Unit s <br /> 8. lt7idtC, aiftt�L -7' <br /> �� rZ <br /> unit 4 <br /> 7. <br /> 8. Unit 6 <br /> 10. nit s <br /> Zj <br /> Specific Date Range of Information Requested: From nil to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOon FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINOIREMOVAL) ❑DOG KENNEL [R DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOI900Y PIERCING [j POOLISPA ®LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PHRMIT RiEcoRbS ARF AVAIL.AsLE:FOR REVIEW: MONAAY-FRIDAY 8:00 Am-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the apace above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4840138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addressee,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 aotively 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 retumed In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$126 deposit prior to review. <br /> EHD USE ONLY <br /> IMP 4e• 9 <br />