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05/13/2009 12:32 9163711809 RANEY GEOTECHNICAL PAGE 01/03 <br />DATE RECEIVED EHD LOG NU0.18ER <br />SAN JOAQUIN COUNTY <br />(N %%40 ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 ILI 02 Z33 <br />AA` 1 706 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e <br />1j,` Ie <br />PUBLIC RECORDS RELEASE APPLICATION Page 1 of 3 <br />ff Showalter <br />ADDRESS: 3.14.0 Beacon Blvd <br />PHONE (1): <br />916-371-0434 <br />BUSINESSIAGENCY: Raney Geotechnical, Inc. <br />cityistatalzip West Sacramento CA 95691 <br />PHONE (z): FACSIMILE: 916-371-1809 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from data of application submittal - `Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE VEST -- $11006 F H OR CHECK ONLY) - REQUEST PROCESSED IN 3 BU INE9 DAYS <br />SIGNATURE OF APPLICANTS Lr DATE S <br />07 <br />Electronic Information: <br />❑ List ❑ Map- Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Syeet# <br />Street Noma <br />... City.. <br />i 3 <br />Unit <br />1. <br />' <br />_ <br />310 <br />S. American St Stockton <br />2.3, <br />300 <br />S. <br />Ca.lifornia St <br />// <br />�j ,Otj,YD/`�P <br />❑ Unite <br />325 <br />S. <br />Stanislaus St <br />/( <br />t0(Gl� <br />Unit3 <br />4. <br />327 <br />fl /L fjadL' <br />5. <br />343 <br />rl <br />/Jody) No�yP <br />DIt4 <br />6. <br />413 <br />I) ! <br />7. <br />419 <br />(I <br />�, <br />ufl�,Nao <br />❑ unitS <br />8. <br />- 427 <br />- rt l r <br />9. <br />433 <br />if <br />rr . <br />Q JLD <br />❑ unite <br />10. <br />439 <br />Specific 3AIRange omat Req <br />f nl foruested: From <br />as" <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I6/ ((0 <br />W UNDERGROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT 71SOLID WASTE FACILITYNEHICLE J <br />q( OTHER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY O WASTE TIRE i' /• / <br />��Rqq UNDERGROUND TANK (MONITORING/REMOVAL) f7 DOG KENNEL O DAIRY 1 /�'z/ 11� <br />KHAZAROMS WASTE GENERATOR,)( CHICKEN RANCH WASTEWATER TREATMENT PLANT <br />• TIERED PERMITTED FACILITY O MOTRLIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br />❑ TATTOOBODY PIERCING O POOUSPA ❑ LAND USE APPLICATION SITE$ <br />❑ MEDICAL WASTE FACILITY 171 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT REGORUS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY S:00 AM-S:OOPM - EXCLUDING HOLIDAYS. <br />1. List up to ten addresses In the space above. Select the type(s) of flies 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 mail to thea dross 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 fries 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 Nle 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 />Ni W"MMET-iL•L'�iwww� <br />WHEnNIMIN �f, , ,,, <br />EHD+9.Oe e/DaIr cww ll i- ✓� L <br />