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Sep. 4, 2008 10:26AM Advanced GeoEnvironmental No. 3037 P. 1 <br /> DATE RECEIVED �., PHO LOG NUMBER <br /> U (� l�Ipl SAN JOAQUIN COUNTY <br /> U�11�t� I I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, 3029 <br /> SEP (j 4 2008 Telephone: (209)468.3420 Fax: (209)464-013838 Web:Web:www.sjgov.org/ehd 3771 QIQ# <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION 00 <br /> PER: ku <br /> arcarranxaia <br /> APPLICANT: BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road Citylstatelzip Stockton, CA 95215 <br /> PHONE(1): 209 467-1006 PHONE(2):209 353-6509 FACSIMILE: 209 467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tantaave only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE RE EST-f10 F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> i <br /> Electronic Intormatlon: ❑List❑Map-Description: <br /> FILE ADDRESSEHD USE ONLY <br /> _.._. _. <br /> street,e street Name c1ry / <br /> ��J�Q� 1 333 Carnegie CouYY Manteca �$ AID its/5 fj ❑ Unh1 CV <br /> V 1 <br /> r_.. <br /> 2 400 Industrial Park Drive Manteca Ham. is /�P f)f`!I ❑ Unit2 <br /> 3 575 Industrial Par c�Drive Manteca 5. cogP <br /> 4 1164 Heseemer Roa Manteca <•ipj 0(41 low <br /> PA1y 1'_ 5. ..__-.. �L.!^r RY.Y.---. U5T 0 OE CO Unit4 IL tJt h� <br /> 6. <br /> 7, <br /> ❑ Unit 6 <br /> B. <br /> 9. <br /> Unit 6 <br /> Specific Date Range of Information Requested:From <br /> r a. <br /> ��// ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> L17}lNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT )6DLIO WASTE FACILITYNEHICLE <br /> ��TT. ! j[HER CLEANUP SITE(NON-LOP) 0FOOD FAmuTY ❑WASTETRE ,1 / <br /> -FUJJDERGROUND TANK(MONITORINGIREMOVAL)IX ❑DOG KENNEL ❑DAIRY <br /> 4"ALIRDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> Q TATTOOIBODY PIERCING ❑POOL/SPA ❑LAND USE APPUCATON SITES <br /> •MEDICAL WASTE FACIU rY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONOAYfPo0AY 8:00 Ams: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 fila type MUST be selected. Fax to 1209)484.0138 or mall 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 tan(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 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 Ole not returned In the same condition as released will be reorganized by EHD staff at the expanse of the applicant. - <br /> Future Ole reviews by the same applicant may require a$105 deposit prior to review. E TpI l ,`ry",Irl <br /> EHD USE ONLY <br /> 9 1 - 21 x� o - Z C <br /> Q `s <br /> 419 <br /> 10 A <br /> END 48-06 81041,38 PUBLIC RECORDS RELEASE APP FORM <br />