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01/28/2008 09:02 20952242 GEOLOGICAL TECHNI" PAGE 02/02 <br /> q� a� <br /> j' EHD I OG NUMBER <br /> I-- SAN JOCLQUZN COUNTY <br /> - -- ENVIRONMENTA71i,HEALTH DEPARTMENT <br /> 2 40D J J 600 East Main Strt�k, Stockton,CA.95202-3029 <br /> z <br /> Telephone:(209)468-3420 Fai_y:(209)464-0138 Web:www.sj <br /> EWI- <br /> PUBLIC RECORD��iRELE.ASE APPLICATION <br /> __ ��• kir <br /> APPLICANT: Elizabeth Emmons BUSINESS/AGENCY; Geological Technics Inc. <br /> ADDRESS: 1101 7th Street,Modesto CA 95354 <br /> U <br /> PHONE(1). 209 522-4119 PHONE(z)!�, FACSIMILE. <br /> ; (209)522-4227 <br /> 11 TENTATIVE' APPOINTMENT DATE: Timo: <br /> (Please allow 90 buslnAaa days from date of a�W-tlon submittal•"To»tative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE((341�H OR CHECK ONLY)-REQUEST PROCESSED IN 3.BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> �4`'A�' Electronic Information: ❑ List El Map—Descriptibh: <br /> lj <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name <br /> 1 City ❑ unit 1 <br /> 1521 Charter Way W(Holt Brothers) Stockton F <br /> ,a,; <br /> Z. 1541 Stockton = [] Unit 2 <br /> 3. 1145 •' <br /> Charter Way W(Independent Trucking) Stockton <br /> 4. 2041 Navy Drive(LKQ Auto Parts/LIKA Corp) Unit 3 <br /> 5. c n �� <br /> B. <br /> 7. <br /> a. U Unit 5 <br /> 9. <br /> 10. �1' ❑ unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL 1-10"ALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP$ITE(LOP) ❑HOU819(!j.AHATEMENT ❑SOLID WASTE FACILITYNENICLE <br /> OTHER CLEANUP SITE(NON-LOP) M FOOD <br /> 0. <br /> OTHER <br /> ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KO*EL t7 DAIRY <br /> HAZARDOUS WASTE GENERATOR n CHICK9g11yiRANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMn7IE FACILITY ❑MOTEL1IIIOTEL M PUMPER TRUCK/YARD/CHEM TOILETS <br /> TgTT00/BODY PIERCING ❑POOL@0A 0 LAND USE APPLICATION SITES <br /> b 'OMEDICAL WASTE FACILITYOTHERLF„ASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS AREAVAILAu FOR IdVIEW - MONDAY-FRIDAY 8.00 AM-5:00PM -EXCLUDING HOUDAY3. <br /> 1. List up to ten addresses In the space above. $elect the 1 fl e(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fa i 2 4 <br /> 0138 o ail tot ddres ndlcated above. Address <br /> ranges will not be accepted—for additional assistance dvith 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. Ah appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held f6li,p 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"lot be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any flle not returned in the same condition as released VVill be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 08.00 deposit prior to review. <br /> EHD"JSE ONLY <br /> FH 4--0e WEB a ar2007 -------------- <br />