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12/17/2009 09:55 <br />DATE RECEIVED <br />n��E����L'J1 <br />9163711809 <br />ULC 1 7 2009 Telephone <br />ENVI <br />PE <br />RANEY GEOTECHNICAL <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-2708 <br />(209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov,org/ d <br />T HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Jeff Showalter <br />ADDRESS: 3140 Beacon Blvd <br />PHONE (1): <br />916-371-0434 <br />PHONE (2): <br />PAGE 01/01 <br />EHD LOG NUMBER <br />BUSINESSIAGENCY:Raney Geotechnical, Inc <br />CITY/STATE/ZIP: W Sacramento, CA 95691 <br />FACSIMILE: <br />TENTATIVE* APPOINTMENT (DATE: 1/2/10 Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE RE ST - S115.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS D YS <br />SIGNATURE OF APPLICANT DATE /� D <br />Electronic Information: ❑ List ❑ Map - Description: <br />please contact Diane Martinez @ (209)468-342,5 directly. Thank You*** <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />JG n <br />._ <br />1. <br />Street ax <br />2403 <br />Street Name <br />W. Louise AveManteca <br />_ _ <br />City <br />2. <br />2801 <br />E. ,Louise Ave <br />Manteca <br />3. <br />2444 <br />E. Lathrop Rd <br />Lathrop <br />4. <br />2715 <br />)J. Louise Ave <br />Lathrop <br />S. <br />2901 <br />E. Louise Ave <br />Lathrop <br />t1� Z !Iti ,1x5. 3 <br />, ; ' b Unit <br />6. <br />V <br />2112wµ <br />E. Louise Ave <br />Lathrop � <br />7. <br />700 <br />E. <br />La L-hrop <br />O6 S .id <br />l Unit 5 <br />B. <br />-Roth T <br />9. <br />Lw nit 6 <br />Specific Date Range of Information Requested: From to 04' <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES 11k�����sss <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE�I� <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY WASTE TIRE <br />DERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />HA7ARDOUS WASTE GENERATOR © CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />IERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOIISPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILA1111,E FOR REVIEW MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. L_lst_yg t0 a 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) 464-01138 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 $115.00 deposit prior to review. <br />EHD USF_ ONLY <br />***If you_need fuCtheryossistance <br />please contact Diane Martinez @ (209)468-342,5 directly. Thank You*** <br />, A-0 tj ;d <br />12 aCP1 t 5 <br />EHU <br />7ravzoce <br />