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12/17/2009 09:55 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> DEHD LOG NUMBER <br /> ATE RECEIVED <br /> MOVED��^����D SAN,IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT f) <br /> 600 East Main St. Stockton, CA 95202-2708 (.Z0 (� <br /> ULC 1 7 2009 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/td <br /> ENVIR NI�cNTMEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PE APPLICANT: Jeff Showalter BUSINESSIAGENCY: Raney Geotechnical, Inc <br /> ADDRESS: 3140 Beacon Blvd - CITY/STATE/ZIP:W Sacramento, CA 95691 <br /> PHONE (1): 916-371-0434 PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: 1/2/1.0 Time: <br /> (Please allow 10 business days from data of application submiml--Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDFFE RE ST-$115.00 FEE( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS D YS <br /> SIGNATURE OF APPLICANT DATE lZ 1 D <br /> Electronic Information: ❑List❑Map 1 Description: <br /> FILE ADDRESS _T EHD USE ONLY <br /> Shasta Street Name CIly ❑Unk1 <br /> 1, 2403 W. Louise Ave Manteca <br /> 2. 2801 E. Louise Ave Manteca ❑Unki <br /> 3. 2444 E. Lathrop Rd Lathrop <br /> 4. 2715 E. Louise Ave Lathrop <br /> 5. 2901 E. Louise Ave Lathrop e \ <br /> 6. 2112 E. Louise Ave Lathropr2<'N4 <br /> 7. 701) E. Roth Lathrop Lb <br /> ❑Unit 6 <br /> 9. - <br /> f0. - nits <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [:1 HOUSING,ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP$ITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> DERGROUND TANK(MONiTORINGIREA1ovAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH C3WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATToo/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up 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 12091464-0138 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(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$115,00 deposit prior to review. <br /> EHD USE ONLY <br /> '*Xf you need further assistance please contact Diane Martinez @ (209)466-3425 d4volly. Thank You"' <br /> EHD404C 1441=9 <br />