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/7 <br /> DATE RECEIVED EHD LOG NUMBER <br /> ` SAN JOAQUIN COUNTYk <br /> ENVIRONMENTAL HEALTH DEPARTMENT 007 Iq 7 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-01.38 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Goldman BUSINESSIAGENCY: Geosolv, LLC <br /> ADDRESS: P.O. Box 1193 CITY/STATEI2IP: Meadow Vista, CA 95722 <br /> PHONE(1): 530 906 9048 PHONE (2): EMAIL: .franR.cgoldman@ymail.com . <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE RE UEST-5125 FEE CASH ORp CHECK ONLY)-, REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNIATURE OF APPLICANT S �(m,o m DATE 05/22/14 <br /> Electronic hiforiviation: ❑ List❑ Map--I_ese iption; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit.I <br /> -i. 999 Tracy Blvd. iJleF Tracy NDP "j0C"''P <br /> 2.. 503 Larch Road lr f:-- Tracy 0D011.kt3 Corp ❑ omit 2 <br /> s. 116850 Tracy Blvd. t4V: Tracy oDbaaV3 t"eccs�p - — <br /> �,✓' �1?42 <br /> 4. 425 Larch Road Tracy MMP 5' � ,�J UFiit 3 <br /> 5- _413_1 Industrial Way y Trac MM ,�OC�o k�i+3 <br /> ----_---- <br /> e�2; <br /> 6. 3788 Tracy Blvd. N_ _ Tracy _ _ (tie► ��h ,�. r'X-Cos Unit4 <br /> 7 3940 A Trac Blvd. N Tracy �P <br /> - Y �; MM M� ►+ s. cis <br /> �n <br /> 3. 3775 Tracy Blvd. N Tracy p Units <br /> 4110 Industrial Way Trac rc� z '" eco <br /> '10. I I ❑ Unit G <br /> Specific Date Range of Information Requested: From 1983 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE 10 <br /> OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT ❑WASTE TIRE I C. <br /> ®UNDERGROUND TANK(MONITORI GIREMOVAL) ❑Fool)FACILITY ❑DAIRY G' �•i� <br /> ❑ABOVEGROUND.TANK �S <br /> ❑CHICKEN RANCH/COG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS.WASFEIHAZARDOUS MATERIALS 0 MOTELIHOTEL El PUMPER TRUCKNARDICHEMICAL TOILETS <br /> 171 TIERED PERMITTED FACILITY ❑POOLISPA ❑LAG USE APPLICATION SITES <br /> ❑TATTOOI6ODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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 least one file type MUST be selected. Fax to(209)464-0138 orrnail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day, <br /> 2. For assistance in identifying.the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. 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 /> 4. Any .file not returned in the same condition as released will be reorganized by EHD staff ai the expense of the applicant. <br /> /Future file reviews by the same applicant may require a$125 deposit prior to review. "BOXED AREA-EHD USE ONLY"" <br /> DMACW Cy .1S <br /> bil v�ll b I usl <br /> c, c� X`•i -al4'J7 kr a' 1,reh O(V,)I 32 "TfrAc <br /> . 1S urrh r } Slo 5"Alt..CXL-0a6 5o jcLrrjjptjDjj.iE C py rprS�L4,, 066 C05zI/i,n Us-k-pa' <br /> -- , CMaa7'x % I r-a ST in 37 <br /> TrtZc u5T in5+c��i <br /> 4/281144reiewra.( - 410 I,'du51r'cLI -u5t 4 '1i3i ►ritluSi-ria% 45-T <br />