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08/21/2012 12:17 _ 9163711809 ^ <br /> RANEY GEOTECHNICAL PAGE 01/01 ` <br /> low EHO LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVE ENVIRONMENTAL HEALTH DEPARTMENT / <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG 2 1 zoIZ Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> ENVIRONMENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jeff: Showalter BUSINESS/AGENCY: Raney Geotechnical, Inc. <br /> ADDRESS: <br /> 3140 Beacon Blvd CITYISTATEIZIP: West Sacramento 916-371-0434 PHONE(2): 916-869-2148 FACSIMILE: <br /> 916-371-1809 <br /> PHONE(1): Time: 10:00 AM <br /> TENTATIVE'APPOINTMENT DATE: 9I3/12 <br /> (Ploaaa allow 10 businass days from date of appllcatlon Submittal--Tonfarivo only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RVZZST-$125 FEE(C CHECK ONLY).REQUEST PROCEDSSSED N 3 B�N SS DAYS <br /> SIGNATURE OF APPLICANT <br /> ATE <br /> Electronic Information: ❑ List❑Map Descripti n <br /> EHD USE ONLY <br /> FILE ADDRESS unit 1 <br /> Strad# Street Name city <br /> 1. 3830 North Alvarado Ave <br /> Stockton ULn` <br /> 3840 North Alvarado Ave Stockton A) Unit 2 <br /> f 2' 3807 Coronado Ave Stockton <br /> 3. 4025 Coronado Ave Stockton <br /> 1146 Enterprise St Stockton g ( Pro�� Unk 3 <br /> 4. rkton / t <br /> 1235 East Alpine Ave Stoc � <br /> 5• West Ln Stockton <br /> 3230 Stockton .� N ( unTta <br /> 6. 4245 West Ln <br /> 7. <br /> Unit 6 <br /> 8. <br /> 9. <br /> ❑Unn6 <br /> 10. to <br /> Specific Data Range of Information Raquostod: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FAcIUTYNEHTCLE I� <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑ <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE )(9�/&,O /Fl✓ t <br /> DAIRY 5 . <br /> UNDERGROUND TANK(MONITORINWREMOVAL)Y- ❑DOG KENNET. ❑WASTEWAT RTREATMENT PCakt—fZ <br /> HAZARDOUS WASTE GENERATOR C� ❑MoTELIHOTFLCHICKEN a PUMPER TRUCKNARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑MO7ELIHOTF.L ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING �]POOLISPA ❑ <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT 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 or mall to the address indicated above. Address <br /> ranges well 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 Nle 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 Nle not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future Nle reviews by the same applicant may requlm a$125 deposit prior to review. <br /> - a - <br /> `h V- <br /> END 4a.a6 )J 1d. Z IOJI �✓�i "vim` 1 ✓tW <br /> M-3(r— C-11U1 t�1tr I <br /> Received Time Aug. 21. 2012 12:44PM ND. 0921 rI"t '5j0(-) FD✓ 23 q I pi05 <br />