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10-25-' 10 01:03 FROM-Ge-logical Technics Ply T-891 P001/001 F-298 <br /> L <br /> DATE RECEIVED SAN JOAQUIN COUNTY 51-110 LOG NUMBER <br /> �� �� ENVIRONMENTAL HEALTH DEPARTMENT <br /> E CDC 600 East Main St, Stockton, CA 95202.3029 <br /> Telephone! (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> LjCJ 2, PUBLIC RECORDS RELEASE APPLICATION <br /> ' ��}�� BUSINESS/AGENCY: Geological Technics Inc. <br /> ADDRESS: 1172 Kansas Avenue CITYISTATEIZIP: Modesto, CA 95351 �'"=' <br /> PHONE(1): 209-5224119 PHONE(2): FACSIMILE: 209-522-4227 <br /> TENTATIVE*APPOINTMENT DATE: Time; <br /> (Please allow 10 buslnos5 days from date of application submittal-'Tentative only-must be confirmed) <br /> 10 CHECK BOX TO EXPEDITE REQUr:ST-TIV_FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: D List 0 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nanio city El unit I <br /> 1. 1710 E California Street Escalon PJ0 tel <br /> 2. 1702 Jackson Avenue Escalon �,77�o�,z (,p -X Q VU.11 2 <br /> 3- 1714- Main Street Escalon �T, cCOr <br /> 1405 California Street Escalon f 04 ��2uo(0- Unit 3 <br /> 1-K -I-e I C/ <br /> 5. 1436 First Street Escalon j IM- ,o / <br /> 0 0 - / <br /> 6. 1855 Jackson Avenue Escalon tio Unit 4 <br /> 7. <br /> 8. El Unit 5 <br /> 9. <br /> .10. Unit 6 <br /> X <br /> Specific Date Range of Information Requested: From All dates available ,to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �le�,jkv <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ElHOUSING,ABATEMENT [9-SOLID WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) [I FOOD FACILITY BWASTE TIRE <br /> Se44' E UNDERGROUND TANK(MON ITORIN c/REm OVAL) [I Doc,KENNEL 'Ej DAIRY <br /> E3HAZARDOUS WASTE 113ENERATO L]CHICKEN RANCH @WASTEWATER TREATMENT PLANT <br /> -16 'E3 TIERED PERMITTED FACILITY (I MOTELIHOTEL OPUMPER TRUCKIYARDICHEMICAL TOILETS <br /> El TATTOOIBODY PIERCING El POOLISPA ®LAND USE APPLICATION SITES <br /> lT 23 MEDICAL WASTE FACILITY 100THER(PLEASE SPECIFY) SWEEPS Data <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS)_ <br /> 1. List up to ton 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(209)464.0138 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 ton(10) <br /> days after receipt of application. The files will behold 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$J2-Zdeposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> 1 94 t1A I OkA i L�0 r, <br /> Jo-�:7-1 0 116bU� IfAUC kan <br /> 121,10 4808 8/27109 <br />