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06-27-'11 10:57 FROM-Geological Technics T-359 P0001/0001 F-333 <br /> REC " ED SAN JOAQUIN COUNTY EHOLOG NUMBER <br /> JUN 2 7 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202.3029 <br /> ENVIRONMENTAL HEALTH Telephone: (209)468-3420 Fax: (209)464-0138 Web; www.sigov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tamorah Bryant/Cher Tonge/Elizabeth Emmons BUSINESS/AGENCY:Geological Technics mc. <br /> ADDRESS: 1173 Kansas Avenue_ CITY/STATE/ZIP: Modesto, CA 95351 <br /> PHONE(1); (209) 522-4119 PHONE2 : <br /> ( ) FACSIMILE: (2090 533-9237 <br /> TENTATIVE*APPOINTMENT DATE' Time: <br /> (Please allow 10 business days from date of appncalmn submittal-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT-_2,_ C/,QPC�I� rm DATE (Dh-) �( <br /> Electronic Information, ❑List 0 Map-Description: <br /> t <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name CITY <br /> 1. 230 Industrial Avenue g Ripon Unit <br /> 2, 850 w Milego Avenue Ripon <br /> 16520 5a Unit 2 <br /> $, E Mi1eg0 Avenue Ripon <br /> 16197 g venue � <br /> 4. E Milego A Ripon n, L <br /> 5. 16791 E Milego Avenue Ripon Unita ((/J <br /> p I <br /> 6. 16790 Milego Avenue Ripon <br /> 7. Unit 4 <br /> 8. <br /> g ❑Unit 5 <br /> 10. <br /> . ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9)UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON•LOP) L1 FOOD FACILITY ❑WASTE TIRE <br /> 1gUNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ©DAIRY <br /> -0 HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ©WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) ��A.IQp�<�I emf'vcjtr)c� UPSYC:x '• <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464.0136 or mall to the address 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 files exist. An appointment for review will be confirmed approximately ton(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 file 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$122 deposit prior to review. <br /> exo use oxly <br /> RHD 48-06 <br /> 07fZ911a <br />