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05/29/2009 08: 55 9163711809 PANEY GEOTECHNICAL PAGE 01/01 <br /> DATE RECEIVED f ILE ECIOPUMYER <br /> ;r�ir�l SAN JC1A4UIN COUNTY <br /> L IB <br /> W l U J ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 'IA.' , Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgO . e <br /> EWPONNAIENT HEA,!TH PUBLIC RECORDS RELEASE APPLICATION - <br /> PE I�aPLICANT: _Pollyanna Bamich BUSINESS/AGENCY: _ _Raney Geotechnical, Inc. <br /> ADDRESS: _ 3140 Beacon Blvd City/Stato/Zlp West Sacramento,CA <br /> PHONE(1): ^916.371.0434 X 23 PHONE(2): FACSIMILE: _91"71-1809 <br /> TENTATIVE*APPOINTMENT DATE:DopoydsLPjOLffle vailabil os. 14/09 Tlme:_AM_____ <br /> (Please allow 10 buss ays ro ate of ap bmittal-*T taH o -muat be confirmed) <br /> X Possibly.....CHECK BOX T EXPEDITE REQU 0 HECK -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE �5 Z/ q Y <br /> Electronic Information: ❑ List Q Map—Deserlpt➢ <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> _ — - — ❑ Unit 1 <br /> 1. 3834 Duck Creek Dr.,Stockton (aka:Tab Transportation) <br /> 2. 3862 puck Creek Dr.,Stockton (aka:Tab Tranportation) Unit 2 <br /> -3=-- / <br /> 4 Unit 3 <br /> 5. <br /> Unit 4 <br /> 6. <br /> 7. <br /> r-4eru <br /> t5 <br /> 8. <br /> -- .. - <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From ALL to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ***ALL APPLICABLE FILES*** <br /> �NOERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT OLID WASTE FACILITYlVEHICLP/�'O �rw <br /> UTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY OVASTE TIRE I v .� <br /> NDERGROUND TANK(MONITORING/REMOVAL) M DOG KENNEL AIRY <br /> ATAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 173 WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY I;7 MOTRLIHOTEL CI PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATToo/BobY PIERCING 0 POOL/SPA ©LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ©OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 5:00 AM-5:00PM -EXCLUDING HOLIDAYS. <br /> 1. List up 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 toast one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated abov-e. 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />