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PAGE <br /> 92537159 GEOCON CONSULTAf EHD LOO N UMD eR <br /> DATERSAN JOAQ,UIN COUNTY <br /> 1411( V ZdIJ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMIT/SERVICEfelephone: (209)468-3420 Fax: (209)464-0138 Web:wwW.SJgov.orglehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tim Berger <br /> BUSINESS/AGENCY: Geocon, Inc <br /> ADDRESS: 3160 Gold Valley Drive 5uito 800 <br /> cITYISTATEIZIP: Rancho Cordova, CA <br /> PHONE(1): 916 852-9118, x509 PHONE(2):_916 849-3258 FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE RPO -ST-$11,30 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTL �r�-,� DATE 3/4/2015 <br /> _ <br /> Enic Information: ❑ List[3 Map—Description: Former S reckels 5u ar PI�HD <br /> lectroUSE ONLY <br /> _ FILE ADDRESS p unit 1 <br /> street Name <br /> city <br /> street# _ LA Von <br /> 1. 18800 South Spreckels Road Manteca <br /> Ur It 2 J <br /> 2. <br /> nK3 <br /> 4, <br /> .0 unit 4 <br /> 6. <br /> 7. ❑Unit 5 <br /> 171 Unit r <br /> 10, to <br /> specinc Date Range of information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES MFDICALWASTE FACILITY X WASTE TIRE SOUDWASTE FACILITYNEHICLE <br /> ❑ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT ❑ <br /> ®OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ❑DAIRY <br /> ®UNDERGROUND TANK(MONITOR INGIREMDVAL) Q CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®ABOVEGROUND TANK MOTCLIHO7El. L]PUMPERTRUCKIYARDICHEMICALTOiLETs <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED FACILITY ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> 0 TATToolBODY PIERCING <br /> WELL AN0 SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:oMtOes from�the list.above bychecking the appropriateAYS <br /> 1 box(es)toAt I ale type MUST he select dace above. e Fax t ct the X209 4840138 or mail to the address indicated above. Address <br /> ranges will not be accepted,Applications received after 3:00 Pm will be processed the next business day. <br /> e number noted above. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD atthten <br /> 3. The EHD will notify the apcat ort IThe files will be held for a maximum of five business ointment for review days for review.be confirmed Appointments (10) <br /> days after receipt of app <br /> should be scheduled accordingly. Imam. <br /> 4. Any file not returned in the same condition as released will he reorganized by EHD staff at the expense of the app <br /> e same applicant may requires$130 deposit prior to review. `""BOXED AREA-EHD USE ONLY" <br /> Future file reviews by th <br /> ed�T mMar�4=2 15-4 04PIv�No 826�4' startName: ourau,a <br />