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01/28/2008 09:02 209522 GEOLOGICAL TECH PAGE 02/02 <br />T iz CSI <br />EHD LOG NUMt3ER <br />SAN JG'� QUZN COUNTX <br />ENVTRONMENTAt, HEALTH DEPARTIY>;ENT <br />All] 2 .� �Gpol� J 600 East Main StrOt, Stockton, CA 95202-3029 <br />i Telephone: (209) 468-3420 Fa*# (209) 464-0138 Web: www.$,j / <br />SE APPLICATION <br />' APPLICANT: Elizabeth Emmons 4- BUSINESS/AGENCY: _ Geological Technics Ills. <br />�j ADDRESS: 1101 7th Street, Modesto CA 95354 <br />PHONE (1): 209) 522-4119 PHONE (2):`, FACSIMILE: (209) 522-4227 <br />yTENTATIVE' APPOINTMENT DATE: Tfine: <br />i �y\ (Please allow 10 buslnsss days from date of a�Iicatlon submittal - "Tentat/ve only - must be confirmed) <br />`�1• V CHECK BOX TO EXPEDITE REQUEST - $98.00 FEE (C4i�H OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ; DATE <br />y, .X Electronic Information: ❑ List ❑ Map - Descriptih'fn: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name city \ ❑ Unit 1 <br />1 1521 Charter Way W (Holt Brothers) Stockton <br />DI�-dG�CIJ <br />Z• 1541 Stockton (/10 El Unit 2 A c� ; l % 6 <br />3, 1145 Charter Way W (independent Trucking) Stockton— P'(lp L67, <br />Unit 3 <br />t 4. 2041 Navy Drive (LKQ Auto Parts/LIKA Corp) Stockton — OZ) <br />Yh <br />t3• �' �Q (J Unit 4 <br />7. G o <br />O17 <br />❑ unit 5 <br />J, <br />13 Unit 6 <br />1\� 1 Specific Date Range of Information Requested- From. to <br />ENVIRONMENTAL HiALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSIk( ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br />OTHER CLEANUP SITE (NON -LOP) M F000 0,k6LcILITY 11 WASTE TIRE ; I L6t t <br />UNDERGROUND TANK (MONITORING/REMOVAL) ✓ 11 Doo Kk4NEL t7 DAIRY <br />HA7ARoOUS WASTE GENERATOR ❑ CHICK�NIRANCt1 ❑ WASTEWATER TREATMENT PLANT <br />TIERED PERMrTTEO FACILITY ❑ MOTELITIOTEL n PUMPER TRUCK/YARD/CHEM TOILETS <br />❑ TATTOO/BODY PIERCING ❑ POOL130A 0 LAND USE APPLICATION SITES <br />tl MEDICAL WASTE FACILITY -OTHER (I; LEASE SPECIFY)_ 5WAZI�7P Cy <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR t�f VIEW - MONDAY -FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br />1, List up to ten addresses In the space above. <br />$elect the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Lax tea 1209) 464-0138 or mail to the address Indicated 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. *n appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held ftp' 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 1110t 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 dvlill be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a 48.00 deposit prior to review. <br />