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01/28/2008 09:02 209522 GEOLOGICAL TECHNI PAGE 02/02 <br /> T R CSI EHD LOGNUMBLR <br /> { , SAN JoLQvzN COUNTY <br /> x <br /> - _ ENWRONMENTAii, HEALTH DEPARTME,NT <br /> J14-i"1 2 - PUJ 600 East Main Street, Stockton, CA 95202-3029 <br /> lJ Telephone: (209)468-3420 Ta.S (209)464-0138 Web: wvvw-sj / <br /> r �•••; `���� it fi��� Tt��� , <br /> PUBLIC RECORDS,,RELEASE A,PPLICA,TION <br /> 4 _ <br /> APPLICANT: Elizabeth Emmons -,--BUSINESS/AGENCY:_ Geological Technics Inc, <br /> / � ADDRESS: 1101 7th Street Modesto,CA 95354 <br /> U PHONE(1):(209)522-4119 PHONE(2)! FACSIMILE: (209)522-4227 <br /> u <br /> f. TENTATIVE' APPOINTMENT DATE: ,; Time; <br /> (Please allow 10 buslnoss days from date of a�#�Oticaflon submittal•*tonfat/ve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CRH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> r SIGNATURE OF APPLICANT DATE <br /> `X Electronic Information: d List❑Map—Descriptihh: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1• 1521 Charter Way W(Holt Brothers) Stockton r <br /> 2. 1541Charter Yay t BrotbaLSjStockton ,-' Elunit 2 <br /> 3. 1145 Charter Way W(Independent Trucking) Stockton <br /> 4. 2041 Navy Drive(LKQ Auto Parts/LI "' yt' 5 unit 3 <br /> KA Corp) <br /> S�oc n sz. <br /> 5. <br /> 6. <br /> 8 Unit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of Information Requested- From to <br /> ENVIRONMENTAL HALTH DEPARTMENT FILES <br /> mr,UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSIOi'j ABATEMENT ❑SOLID WASTE FACILITYNOHICLE <br /> OTHER CLEANUP SITE(NoN-LOP) M FOOD FihiCILITY ❑WASTE TIRE <br /> UNDEROROUND TANK(MONITORINO/REMOVAL) ❑DOG KONEL d DAIRY <br /> HAZARDOUS WASTE GENERATOR Ct CHICK6�JquIRANCH El WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 13MOTELh'Jt OTEL a PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING 171POOL/iAA ❑LAND USE APPLICATION SITE$ <br /> b MEDICAL WASTE FACILITY �-OTHER'(PJ;LEASE SPECIFY)_ LSU '-`"p S <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVgtLAeLE FOR t�f`41Ew - MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the C/pe(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Lax _1209)464-0138 or mail to the address Indicated above Address <br /> ranges will not be accepted—for additional assistance;Wth 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 f�of'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 Oot 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%Wil be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 08.00 deposit prior to review. <br /> FHN i�1SE ONLY <br /> Eus-loewls --srz007 <br />