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Oct, 15, 2014 9: 19AM GENESIS ENGINEERING & REDEVELOP No. 1970 P, 2 <br /> WMVED EHD LOG NUMBER <br /> SAN .IOAQUIN CdUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT tgq <br /> OCT 15 2014 1868 Fast Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)•464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTALHEAL'(H PUBLIC RECORDS RELEASE APPLICATION <br /> Pyr,.err/aCtaulP'.i=rr, <br /> APPLICANT: Todd Williams BUSINESS/AGENcY: Genesis Engineering & Redev. <br /> ADDRESS: 351 Ruess Road CITY/STATEIZIP: Ripon, CA, 95366 <br /> PHONE(1): (209) 599-2004 PHONE(2): FACSIMILE: (209)433-3990 <br /> Please allow 10 business days from date of appllcatlon submlttal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requelted records, <br /> ❑CHECK BOX TO EXPEDITEUE�T, $1 E(CASH OR CHECK ONLY)-REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �Q/) DATE 10/15/2014 <br /> Efectronlc Information: ❑ Llst❑ Map—Description: <br /> PILE ADDRESS HD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> 1. 1085 S. UnionRoad w`6ty)"����`,Manteca rl"t' <br /> 2. r��"' "Iln�.1121 <br /> 3. -, <br /> 4. <br /> EI Unit a J / <br /> • 5. , <br /> 6. p Unit 4 <br /> 7, <br /> $ <br /> Unit S <br /> 10. ;Q unit 6 <br /> Speelfle Date Flange of Information Requested: From 1960 to October. 2014 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEHICLE I r Y <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT ❑WASTE TIRE oZ IQ F0,-I v1��f/ <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY E]DAIRY I C- Zy- I 1 <br /> ®A13OVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WAST0HAZARDOUSMATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑x TIERED PERMITTI=D FACILITY ❑POOLISPAX❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5: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. rax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Appllcatlons received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In Identifying the nature and content of END records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHID files 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 /> 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$130 deposit prior to review. "'/'BOXED AREA-EHD USE ONLY'' <br /> I1-4-1U R7 0 e . 14 VU Ll tO 7-1-?_6,V,4­LJ" 101Y42, tD L <br /> 00 -7 — t2 ee (+UV F1.1 <br /> 0 Records provided by Staff-PPR C mplete. staff Name: <br /> EHD 46-00 00/01/14 <br /> Received Time Oct. 15. 2014 9: 19AM No. 7335 <br />