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r 07/11/2012 12:59 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> r <br /> EHD I.OG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVE'U ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazeiton Avenue, Stockton, CA 95205-6232 <br /> JUI. 11,2 ftlephone: (209)468-3420 Fax: (209) 464-0138 Web:Www,Sj90V.Or9Iehr1 q <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ti----+ r BUSINESSIAGENCY: o� �r <br /> a__.t_ecliT Tnc. <br /> ADDRESS: 314-0_a?s B;ZL CITYISTAT6IZ{P,rr1PF-y_SacxamPnto CA,95G9J <br /> PHONE(1): 916-371-0434 PHONE(2): --- <br /> 916-371-1809 <br /> TENTATIVE'APPOINTMENT DATE: July 2O , 2 012 Time: <br /> (Please allow 10 business days from date of a icatbn submlttal-`Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPED REQU -S125 FEE(C SH HECK ONLY)-REQUEST PROCESSED N 3 SUSI S DAY <br /> D <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑ List❑Ma Descriptio <br /> FILE ADDRESS eHD USE ONLY <br /> Or/ Street 0 Street Name city ❑Unit 1 <br /> 41.E 1440 PERFORMANCE DR STOCKTON <br /> 7. <br /> Q(�C 2.- 5476 S AIRPORT WAY STOCKTON J O (.� U t 2 <br /> 3• 6603 S AIRPORT WAY STOCKTON p I t <br /> 4. 7759 S AIRPORT WAY STOCKTON l- Unita I <br /> 1 <br /> S. <br /> 6. unit4 <br /> 7. <br /> 8 ❑Unit 6 <br /> 10. ❑un@ fi <br /> Specific Dato Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES q <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY]VEHICLE <br /> ®OTHER CLEANUP SOF-(NON-LOP) 1­1FOOD FACILITY L]WASTE TIRE Ufi <br /> UNDERGROUND TAN K(MONITORINGIREMOVAL)(/4 El DOE KENNEL El DAIRY fir✓ <br /> HAZARDOUS WASTE GENERATOR d+ ❑CHICKEN RANCH ❑WASTEWATERTREnTMeNr <br /> ®TIERED PERMITTED FACILITY OL-, ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ,�n+POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY LJ COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RFmEW: MONDAY-FRIDAY 8:DO AM-5:00PM(Exci_uDING HOLIDAYS) <br /> 1. <br /> L!"' <br /> uo to ten addresses.{n 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(2091 464.0 138 or mail to the address 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 /> 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 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$126 deposit prior to review. <br /> F �t L rLAI <br /> Z A)flO—j C_ f;. <br /> — 51t <br /> Received Time Jul. 11. 2012 1 :26PM No. 0524 <br />