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12/17/2009 09:55 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHDL NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-271 <br /> ULC 1 7 2009 Telephone: (209)468 3420 Fax: (209)464-0138 Web: vYww.Sjgov,org/ Cl <br /> EN�VI MANTHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jeff Showalter BUSINESSIAGENCY: Raney Geotechni al,Inc <br /> ADDRESS: 3140 Beacon Blvd CITY/STATEIZIP:W Sacramento, CA 95691 <br /> PHONE(1): 916-371-0434 PHONE(2); FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: 1/2/10 Time: <br /> (Please allow 10 business days from date of application submittal 7--Tentative only-must be eonfirmad) <br /> ❑CHECK BOX To EXPEORE RE ST-$115.00 FEEE( H R CHECK ONLY)-REDUEST PROCESSED IN 3 BUSINESS YS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑Map!DescriptlOn: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name City.,_.-. ❑Unit 1 <br /> q, 2403 W W. Louise Ave Manteca '.q <br /> 2. 2801 E. Louise Ave Manteca !,punkt <br /> 3. 2444 E. Lathrop Rd Lathrop <br /> 4. 2715 E. Louise Ave Lathrop <br /> 5 2901 E. Louise Ave Lathrop," &' <br /> S. 2112 E. Louise Ave Lathrop nit <br /> 7. 700 E. Roth Lathrop <br /> B. ..-. .._ bb 1� - <br /> 9. [I unit S <br /> nit 6 <br /> Specific Date Range of Information Requested: From t0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES} I <br /> k <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT W SOLID WASTE FACILITYNEHICI(E <br /> HER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY `WASTE TIRE <br /> DERGROUND TANK(MONITOPoNGIREMOvAL) ❑DOG KENNEL Q DAIRY <br /> ZARDOUS WASTE GENERATOR Q CHICKEN RANCH ❑WASTEWATER TREATMENT PRED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMIC'IL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ©OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FNIDAY 8:00 AM-5:00pM(EXCLUDING HOLIDAYS) <br /> 7. List up to n 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(2091464-0138 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 END will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointmer is <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 nay be <br /> submitted when the file I$available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EMP 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 /> eap use... <br /> ***If you need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br /> cHoan.as <br /> T tdaoe <br />