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08/14/2008 13:13 916371IR09 RANEY GEOTECHNICAL PAGE 01/04 <br /> if � pA `, �{ ; EHD LOG NUMBER <br /> ni� �J SAN .10AQUIN COUNTY <br /> ENVIRONMENTAL.. HEALTH DEPARTMENT <br /> af!(; 1 41 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> EN VlFON'�01Ef\i' 7� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.Sj90v,or h <br /> r <br /> AE,r= <br /> PERnvU,_'' BVIi,E5 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jiff Showalt e,r BUSINESSIAGENCY: Raney GeotCchnical Inc" <br /> ADDRESS: 3140 Beacon Blvd. West Sacramento CA 95691 <br /> PHONE(1): 9_16-371-Q434 PHONE(2): FACSIMILE: 916-371-1809 <br /> TENTATIVE"APPOINTMENT DATE: Time: 1; 0 0 PM r <br /> (Please allow ten business days from date of application s l7mittal- Tentat ve only-must be confirmed) <br /> b CHECK DOX TO EXPEDITE RE T-$98.00 FEE CHECK ONLY)-REQUEST PROCESSED IN THREE USINE S DAYS <br /> SIGNATURE-OF APPLICANT DATE / <br /> Electronic Information: ❑ List❑Aap-Description: <br /> __. FILE ADDRESS _ I HD USE ONLY <br /> treat# <br /> Street Name <br /> - _ city 0 Unit 1 <br /> C .. t1. A_ Ste_.- Stockton X35 C <br /> -(� '-'• 1C, 1 5 l7-L�L� .-.1 StOC,1CLOX7 FJ Unit 2 <br /> 3—�-- ' "-� �P.0 -_I• Stockton <br /> —4 �_ S._T— J—LSG_ Stockton <br /> �,s,s( Unit 3 <br /> 5. Z /r & ii Stockton <br /> 6 ri ok <br /> Stockton <br /> - -- �._ � Unita <br /> 7' Stockton. <br /> L9. li rStockton ❑Unit 6 <br /> u IP Stockton <br /> /� �r Stockton ❑unlf5 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIDES <br /> tX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> IN OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KPNNFL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> d TIERED PERMITTED FACILITY ❑MOTEL/HOTEI, PUMPER TRUCKIYARDICHEM TOILETS <br /> ©TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑MFDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RRCORDS ARE AVAILADLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:OOPl4 - 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 he selected. Fax to(209)484.0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> 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 <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 the EHD staff may not be Immediately available for review. A new application <br /> may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by FHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4A-Ofl 10/�3/pJ �" Til PUBLICRECORI]$RFLEA3E AP <br />