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4 <br /> Jan. 24, 2008 4PM Au ced Geohvi ronmental No. 0926 1 t '2 <br /> DATE RECEIVED EHO LOG NUMBER <br /> �L�i J;;�r=; nSANJOAQUINCOUNTY <br /> ;J ENVIRONMENTAL HEALTH DEPARTMENT Z <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ! lCiu Telephone:(209)468-3420 Fax:(209) 464-0138 Web:ww.sjgov. <br /> w <br /> Nj <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally colavita BUSINESS/AGENCY; Advanced GeoEnvircnmental <br /> ADDRESS: 837 Shaw Road Stockton CA <br /> PHONE(1): 209 467••1006 PHONE(2):.. 209 483-3801 FACSIMILE: 209 467-1118 <br /> TENTATIVE"APPOINTMENT DATE; Time: <br /> 006e 8II0w 10 bU6111e86 days from date of application submittal-"Tentative only-must be confirmed) <br /> C3 CHECK BOX TO EXPEDITE REQU T-598.00 FEE A OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> �.- <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> ry <br /> Street 6 Street Name Ci <br /> F2. <br /> Wal'-( Gkaftce W� s��1Gr Sat Vile C vJ s <br /> 3. 1�'1 tr In <br /> e. I t oto M kv �, I <br /> 7. 31 SoK trs�in �I <br /> L�90- <br /> 1X3`1 Wes( O Uni <br /> _ _r 1310 we,4 a <br /> tt 8 <br /> Speck Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑Don KENNEL ❑ AIRY <br /> XHAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARD/CHEM TOILET.5 <br /> TATTOO/BODY PIERCING ©POOL/SPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAOLE 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(208)464-0136 of mall to the address Indlcated 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 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 FHh 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 some applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 48-06 WEB LM007 <br />