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Feb. 17. 2008 1 40PM A ced GeoEnv i ronmenlal ' No. 1118 EHIF' . 1 NUMBER. <br /> DAT <br /> I=mm,,CE vGV <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN• <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> - Telephone: (209)468-3420]Fax: (209)464'0138 Web-, www.sjgay.or hd <br /> 2 <br /> � E <br /> 3 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> t ^� 14 M <br /> LSL1T: Maria Carranza BUSINESSIAGENCY: Advanced Gea>nvironmental <br /> 13 <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE 1): 209 467-1006 PHONE(2): 209 609-4067 FACSIMILE: 209 467 1119 <br /> TENTATIVE*APPOINTMENT DATE- Time: <br /> (Please allow 10 business days from date of application submittal-"Tea fatrve only-must be confirmed) <br /> © CHECK SOX To EXPEDITE REQU -$98.00 ASH QR CHECK t7NLY)-REQUEST PROCESSED IN 3 BUSINESS DAY <br /> SIGNATURE OF APPLICANT ! DATE ' <br /> Electronic Information: ❑ List❑ map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City C.7 Unit 1 \ <br /> 955 South Airport way Manteca ,' <br /> r2. 1985 West Yosemite Avenue Manteca <br /> Unit 3 <br /> 4. <br /> Unit 4 <br /> E <br /> G. <br /> 7. I <br /> $• f Unit 6 <br /> 10. f <br /> Specific Date Range of Information Requested: From i to <br /> k <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,rUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑,HOUSING ABATEMENT 1111r6OLID WASTE FACILITYIVEHICLE <br /> El OTHER CLEANUP SITE(NON-LOP) ❑Fppo FACILITY ❑WASTE TIRE <br /> JrUNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL d DAIRY <br /> ,W'HAZARDOUB WASTE GENERATOR ❑CHicKrzN RANCH I ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELMOTEL € ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> d TATToOIBoDY PieRGw o ❑ POOLISPA M LAND Usc APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑OTHER(PLEASESPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8'00 AM-5:00PM - EXCLUOINO HOLIDAYS. <br /> 1. List up to ten addresses in the space above- Select the lype(s) of,files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 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 newt business day, <br /> 2. The EHD will notify the applicant If any EHD files exist. An appoln.tment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of flve business days for review. Appointments <br /> should be scheduled accordingly. <br /> i <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 flIe is available. <br /> E <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$98.00 deposit prior.to review. <br /> I <br /> EHD USE ONLY <br /> i - <br /> i <br /> END484SWEB 81912007 . <br /> I <br />