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�.. <br /> r ��15f �® 925371591 GEOCON CUNSULTAN PAGE - 01/01 <br /> EFID LOCI NUMBER <br /> DATERECEINER4 Hil, SAN JOAQUIN COUNTY <br /> �IYY�I AAIICC 1111 ENVIRONMENTAL HEALTH DEPARTMENT <br /> �/� <br /> ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 952D /�6/ <br /> PERMIT/SERVIC%Iephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjg0v.0rg(ehd �V — <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Tim Berger BUSINESS/AGENCY: Geocon, Ino <br /> APPLICANT: <br /> ADDRESS: 3160 Gold Valley Drive Suite 800 clT rfsraTEIZIP: Rancho Cordova CA <br /> PHONE(1): 916 852-9118, x509 PHONE(2): (916) 849-3258 FACSIMILE: <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 FXPEDITE REQS-sT.$j;O FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE 3/4/2015 <br /> SIGNATURE OF APPLICANT` L k <br /> Electronic Information: ❑ List[] Map—Description: Former SDreckelS SUQar Plant#2 <br /> EHD Use ONLY <br /> FILE ADDRESS <br /> street# Street Name city ❑Unit t <br /> 1. 18800 -South Spreckels Road Manteca _iw 5T <br /> 2. ..�,._ U 2 <br /> tt <br /> 3' eF Unit3 <br /> 4. <br /> ,[I UnR4 <br /> 7. _ - - — ���-\D ❑Unit 5 <br /> g'~ Unit6 <br /> 10, <br /> to <br /> Specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FAcamNEHICLE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY WASTE TIRE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING AFATEMENT E]DAIRY <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> MOTELIHOTEL ❑PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> TIERED PERMITTED FACILITY ®coMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> TATTOO/BODY PIERCING <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS <br /> FOR REVIEW: MONDAY- <br /> m the list above by checking the appropriate <br /> 1. I ist up to ten addresses In the space above. Select the type(s)of files froto(2 3 the address <br /> box(es). At least one fil <br /> type Applications receive after 3 00 pm wililI be)464 pr ces e-0138orm'1"0d he next business day.bove. Address <br /> ranges will not be accepted. pp Please contact EHD at the number noted above. <br /> 2. For assistance in identifying the nature and content of EHD records,p <br /> 3. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately <br /> to (10) <br /> days after receipt of application. The files Will be held for a maximum of five business days for review. App <br /> should be scheduled accordingly. expense of the applicant. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. "'"BOXED AREA-EHD USE ONLY" <br /> ;.rn,t h,r etaff.vlsli' r3mn1A#e staff Name: <br /> , i t ?Mar. 4. -9015= 4 004PIv N.n`72'64 oomu,a <br />