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P.0011001 <br />EHD LOG NUMBER <br />06/20/2013 10:14 -' X) <br />le <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 3uN Telephone: (209) 468-3420 Fax: (209) 464-0138 Web; www.sjgov.org/ehd <br />_FiEg.11-4 <br />PUBLIC RECORDS RELEASE APPLICATION <br />DATE IR.cElygp. <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA / 95215 <br /> <br />PHONE (1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE: 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 />0 CHECK BOX TO EXPEDITE REQU STb OR C C LY) - REQUEST PROCESSED - $126 F INS BUSINESS DAYS <br />cria V.DATE Co • <br />._ <br />1 Electronic Information: LII List LII Map — DeA-113tion: <br />....- k <br />I <br />PILE ADDRESS EHD USE ONLY <br />,...011nIt1 Street* Street Name clty <br /> 331 East Weber Avenue ,,,\<i'-<"," Stockton <br />_,C71Unit 2 330 East Weber Avenue :,,,ou Stockton <br /> 321 East Weber Avenue c-N-C--2 Stockton <br />,--- .4:j Unit 3 , 304 East Weber Avenue --'" `) Stockton <br /> 302 West Weber Avenue .-\`‘'-v Stockton i 5Ie CgiO4.,,A/ /.kz.")-\ <br />/727/42 (:5-7ePi4 /cik,e). Elunita 6- 220 North San Joaquin Street -0 Stockton <br /> <br />0 Unit 6 <br /> <br />— - 0 lin I t 6 <br />SIGNATURE OF APPLICAN <br />SpacifIc Data Range of Information Roquestod: From al <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />El UNDERGROUND TANK (UST) CLEANUP SITE (LOP) p HOUSING ABATEMENT <br />E OTHER CLEANUP SITE (NON-LOP) ['FOOD FACILITY <br />E UNDERGROUND TANK (MONITORING/REMOVAL) El DOG KENNEL <br />0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH <br />0 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL <br />0 TATTOO/BODY PIERCING 0 PooUSPA <br />El MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS <br />to <br />SOUD WASTE FACILITYNENICLE <br />0 WASTE TIRE <br />DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />0 PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />El LAND USE APPLICATION SITES <br />D OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ata.-5:00pm (EXCLUDING HOLIDAYS) <br />List to) to ten addresses in the space above. Select the type(s) of flies from the Ilst 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 El-ID. Applications received after <br />3:00 pm will be processed the next business day. <br />The EI-11) will notify the applicant if any El-ID 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 />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 />Any flle not returned In the same condition as releaeed will be reorganized by EHD etaff at the expenee of the applicant. <br />Future file reviews by the same applicant may require a $126 deposit prior to aview. <br />END USE ONi <br />EMD di1-08 <br />Received Time Jun. 2. 2013 1:10A\A o, 3437