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0211912014 11:19 AX) P.0011001 <br /> ���E�- ��� $AN .IOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVED CE ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FEB 19 2014 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced CeOEnvlronmental <br /> ADDRESS: 837 Shaw Road CITYISTATEPZIP: Stockton /CA 195215 <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-•79n7a ve any-must be con rrmed) <br /> ❑ CHECK BOX TO EXPEDI U $125 FEE( R CH KO. -REQUEST PROCESSED IN 3 BUSIN S5 DAYS <br /> SIGNATURE OF APPLICANT DATE °I I <br /> LA <br /> Electronlc Informatlon: ❑ List❑ Map-Description: <br /> FILE ADDRESS E DUSEONLY <br /> Street# Street Name City Untt l <br /> 1• 56 South Lincoln Street Al .Stockton v ' <br /> 2, 402 West Weber Avenue Stockton 3 unh2 � <br /> 3• 666 West Weber Avenue Stockton U <br /> 4• 504 West Weber Street or Ave Stockton I S ,p'unR3 <br /> 8- - -1 nh4 <br /> _ t 0 Unit5 <br /> 9, <br /> 1 D. -Unit 0 <br /> SpaciRc Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑X UNDERGROUNDTANK(UST)CLEANUP SUE(LOP) ❑HOUSING ABATEMENT Ej SOUDWASiE FACILITY EHICf <br /> x❑OTHERCLEANUP SRE.(NON-LOP) ❑FODDFACILITY ❑x WASTETIRE �f\/',��!(('-s r17',W�l��' <br /> x❑UNDERGROUND TANK(MONITONNGIREMOVAQ ❑DOG KENNEL ❑x DAIRY f^'� 7- 3 1 <br /> x❑HAZARDOUS WASTE GENERATOR CO� ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY (,A, ❑MOTEUHOTEL ❑PUIPERTRUCIUYARdCHEMICALTOILELS <br /> ❑TATT001BODY PIERCING ❑POOUSPA - Q LAND USE APPLICATION SUES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑OTHER(PLEASESPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDIND HOLIDAYS) <br /> 1. List uD to ten addresaaa In the apace above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)454-0138 or mall to the address indicated above. Addresa <br /> ranges will not be accepted.for additional assistance with file addreasea,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. - <br /> 2. The EHD YAll 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 flies will he 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 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 same applicant may require a$125 deposit prior to review. <br /> 3-'3-I to 00al 3 q <br /> 1 r 0' cNL LO <br /> ERD48•0e - e11111 <br /> Received Time Feb. 19. 2014 11 : 11AM No- 5231 <br />