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--- -------- <br /> ----------------------------------- ...... <br /> ---------------- <br /> --------------- <br /> ■ <br /> 0612612013 10:36 P.0011001 <br /> ■ <br /> ■ <br /> ■ <br /> EHD LOG NUMBER <br /> DATE RECEIVED■ SAN JOAQUIN COUNTY <br /> ■ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone- (209) 468-3420 Fax: (209) 464-0138 Web: Nw'rq,Sjgov,org1ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESWAGENcY: Advanced G eo Environmental <br /> ADDRESS: 837 Shaw Road . CITYISTATE/ZIP: Stockton / CA/ 95215 <br /> PHONE (1)- 209467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENT4T/VE*APPOINTMENT DATE:ASAP Time: <br /> (Please allow 10 business days from data of application sub I- antativo only-muotba confirmed) <br /> ❑ CHECK 13OXTO EXPEDITE REQUE T-$12S FEE C R C ON Y1-REQUEST PROCESSED IN 3 BUSINESS11 <br /> P PAYS <br /> SIGNATURE OF APPILICANf� DATE S <br /> Electronic Information: EjLIsf[] Map-Descriptio <br /> A: , <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name city 171 Unit I <br /> 1- 1650 South El Dorado St Stockton <br /> .-1 Stockton <br /> 2. 1717 South Cent®r St '71: 1211-6 <br /> 3. 35275 South Welty Road tcIL-0 Tracy <br /> 4. Elldn't 3 C��°� <br /> 6. [:1 Unit 4 <br /> 7. <br /> 0 Unit 9 <br /> 10. �Unit 6 <br /> L� <br /> SpacifIc Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(1.0P) ❑HOUSING ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY Q WASTE TIRE <br /> XO UNDERGROUND TANK(MONITOR I NOIREMOVAL) ❑DOG KENNEL 0 DAIRY <br /> Mx HAZARDOUS WASTE(3 ENERATOR ❑CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> FX1 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> F1 TATFOO]BODY PIERCING ❑POOLISPA LAND USE APPLICATION SITES <br /> [] MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8'00 AM-5'00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ton addresses In the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. FaX IQ(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 151-111). Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The 21HID will notify the applicant If any EHD Mae exist. An appointment for review will be conFirmod 2pproxim2toly ton(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 schaduled accordingly. <br /> 3. A file that is-actively being worked on by EHD staff may not be Immediately available for review. A now appllratlon may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as rele2sed will be reorganized by EHD staff at the expense of the applicant. <br /> Future Me reviews by the same applicant may require a X125 deposit prior to review. <br /> END USE ONLY <br /> EH 4"0 <br /> I)Al') 1A. ')0AhA hl,. OAA <br />