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EHD LOG NU ERc(i <br />10/2112010 16:45 Advanced Gec ronnental Inc. 194671118 P.001/001 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />GC I- 2 1 L010 600 East MO) St, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov. <br />ENVIRONMENT HEALIEJ punt-fic_FR vir,ps 'PUBLIC RECORDS RELEASE APPLICATIO <br />APPLICANT: fi y (n rq 1.1 ,fillSit•IISS/fGENCY: 41ogAta6y,lEAvirakkedtia,1 <br />ADDRESS: eo__ Skava ts{ ILTJ firATE/ZiP: .1-116.1e44rm ?,50q <br />PHONE (1): 207- y6q- G'06 PHONE (2): 2.0-q - ct 0/ FACSIMILE: 291- 416; -I <br />TENTATIVE* APPOINTMENT DATE: AA.2 Time: <br />(Pleate allow 10 business days) from data of a DplIcation submittal - *Tentative only - must be confirmed) <br />5CHECK BOX TO EXPEDITE REQUEST-Al E (C H CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE /04t/i 0 I Electronic Information: II List MI Map — Description; .. I <br />FILE ADDRESS <br />- EHD USE ONLY <br />0 Unit 1 Street # Street Name City <br /> iv Cewi Wtb-er Aye. t3-4-0 440A. )r/___ <br /> 30q , u .. <br />—3. ., f2-14r) NO fi'k VI—Ct-D X -1 01 <br />4 f t 3 4.s, „ <br /> a 3So 1, .1 li <br />At 4 P•113-0 t , i‘ s, ii <br />7. 21 A. 0 i, li % ( 1( \t _ <br />I:I Unit 5 IL <br />S. <br />__opiates 10. <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) D HOUSING ABATEMENT <br />OTHER CLEANUP SITEAON-LOP) 0 FOOD FACILITY <br />UNDERGROUND TANIAMONITOkiNdREMOTAL) DOG KENNEL <br />2. HAZARDOUS WASTE ENERATOR <br />1:1 TIERED PERMITTED ACiLrrY <br />TATIONSODY PIERCING <br />0 MEDICAL WASTE FACILITY <br />to <br />0 CHICKEN RANCH <br />efttil INTEL <br />adieFOLEAse SPECIFY) <br />Eg SOLID WASTE FACILITYNEHICLE <br />WASTE TIRE <br />0 DAIRY <br />gWASTEWATER TREATMENT PLANT <br />El PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />CI LAND UE APPLICATION SITES <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILAELE FOR ROAM: MONDAY-FRIDAY 8:00 AM-6:00Pm (EXCLUDING HOLIDAYS) <br />Llet UP to ten addrusset In the space above. Select the type(*) of flies from the list above by checking the appropriate <br />box(ea). At least one file type MUST be selected. Fax to (200) 4,64-0138 or mall to,the !drives 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 />The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The flies 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 Immedlateiy available for review. A new application may be <br />submitted when the file Is available. <br />Any file not returned In the earn° 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 $122 deposit prior to review. <br />OD USE ONLY <br />MD 4448 07129/10