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08/21/2012 12:17 ._ 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> • • <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> � 0�v 9 � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)4640138 Web:www.sjgov.org/ehd <br /> AUG 2 1 ?01Z <br /> ENVIRONMENTA HEALai PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: JeE£ Sklowalter BUSINESS/AGENCY: Raney Geotechnical, IA"iC. <br /> CITYISTATE2IP: West Sacramento <br /> ADDRESS: 3140 Beacon Blvd 916-371-0434 PHONE(2 <br /> 916-371-1809 <br /> I. 916-869-2148 FACSIMILE; <br /> PHONE(1): Tlme: 10:00 AM <br /> TENTATIVE'APPOINTMENTDATE; 9/3/12 <br /> (Ploasa allow la business days from date of application suhmtnal-'Tentative only-must no confirmed) <br /> ❑CHECK BOX TO EXPEDITE ST-$125 FEE(C CHECK ONLY)•REQUEST PROCESSED IN 3 BUSIN SS DAYS <br /> DATE CD <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑ List❑Map Descripti n <br /> ENO USE ONLY <br /> FILE ADDRESS <br /> Street Name Unit 1 <br /> City <br /> Streetu � <br /> 1. 3830 North Alvarado Ave Stockton <br /> llv` 3840 North Alvarado Ave Stockton N Unit 2 <br /> Stockton <br /> 2' 3807 Coronado Ave Stockton <br /> / <br /> 3• 4025 Coronado Ave <br /> 4. p <br /> i<1 1146 Enterprise St Stockton 52 ( 0 Ii U it3 l�/I <br /> --- 7Stockton East Alpine Ave Stockton � !f <br /> 5• 3230 West Ln <br /> 6. 4245 <br /> West Ln Stockton Z N ! _,E(�Unit4 <br /> 7. <br /> Unit 6 <br /> 8. <br /> 9• ❑Unit s <br /> 10. to <br /> Specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FACIUfYNEHtCL�E ^ '' ^ -}- <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑WASTETIRE )0' P '' W,t 1 <br /> OTHER CLEANUP SITE(NDN-LOP) ❑FOOD FACILITY El <br /> El TANK(MONITORINGIREMOVAL)YL E]DOG KENNET. DAIRY <br /> ❑ � <br /> CHICKEN RANCH ❑WASTEWAT RTREATME� /f/PLART <br /> � <br /> HAZARDOUS WASTE GENERATOR CPUMPER TRUCKNARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACIUTY ❑MOTEIIHDTF.L ❑LAND USE APPDCATION SITES <br /> ❑TATTOOIBODY PIERCING 0 POOLISPA Ej <br /> ❑ MEDICALWAsTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM.S:00PM(EXCLUDING HOLIDAYS) <br /> J. List ug to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(20Q)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for addidanal assistance with file addresses,contact the EHD. Applications received after <br /> $: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 accordifigly. <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 /> Z : ) <br /> - a - <br /> ' ) 0 r cD : 3 <br /> EHD 4B•e5 1JA,&,a0. t ro�it ct �/�>< o f Corn�(anfi *cDM3k13 <br /> Received Time Aug. 21, 2012 12:44PMNo, 0921 r("t 10(0) FD✓ IZ35AlPiVV�.. Fes' <br />