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86-27-' 11 10:57 FROM-Geological Technics T-359—P0201/0001 F-333 <br /> R W WIVE DK — EHD LOG NUMBER <br /> SAN JOAgUIN COUNTY <br /> JUN 2 7 [U11 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone; (209)468-3420 Fax: (209)464-0138 Web; www.sjgov.org/ehd <br /> ENVPERMITSERVIC <br /> PENTAL ERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tamorah Bryant/Cher Tonge/Elizabeth Emmons BUSINESSIAGENCY: Geological Technics Inc. <br /> ADDRESS: 1172 Kansa6 Avenue CITYISTATE/ZIP: Modesto, cA 95351 <br /> PHONE(1): (209) 522-4119 PHONE(2): FACSIMILE: (2090 522-4227 <br /> TFNTATIVE*APPOINTMENT DATE- Time: <br /> (Please allow 10 business days from date of application 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 �MYYti DATE LO Id-1/( <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY \ <br /> street p Street Name City Unit 1 f <br /> 1, 330 Industrial Avenue g, Ripon ) <br /> 2 850 ]jg <br /> ue Ripon <br /> I <br /> p Unit 2 <br /> 3 16520 ue Ripon <br /> I <br /> 4 16197 ue R1pOR n <br /> 16791 Unita <br /> 5. ue Ripon <br /> 6• 16790 Milego Avenue Ri on <br /> P <br /> Unit 4 <br /> 7. <br /> 8. <br /> ❑ <br /> Unit 5 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> D UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ©DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELJHOTEL ❑PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTE FACILITY OTHER(PLEASESPECIFY)65WQq f';)j eyn GYG)QY1 Cts V�yf: <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYAILASLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00PM(EXCLUDING FIOLIDAYS) '.. <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 be selected. Fax to(209)464.0138 or mail 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 ten It 0) <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 some 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 /> EHO USE ONLY <br /> EHV 49-06 <br /> 07/49/10 <br />