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`. -.w <br /> DATE RECEIVED EHD LO�t�R� <br /> SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frani( Goldman BUSINESSIAGENCY: GeoSOIV, LLC <br /> ADDRESS: P.O. BOX 1193 CITY/STATE/ZIP: Meadow Vista, CA 95722 <br /> PHONE(1): 530 906 9048 PHONE (2): EMAIL: .frank,goldman@ymail.com <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 REQUEST-$12nAn-�FEE CASH OR CHECK ONLY) REOUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT�i�� DATE 05/22/14 <br /> Electronic Information: ❑List❑Map-Description; <br /> FILE ADDRESS ENO USE ONLY <br /> ----- ------- ----- <br /> Street 0 Street Name city ❑Unit 1 <br /> 1. 999 Tracy Blvd. NPG Tracy <br /> 2. 503 Larch Road - "Z4 Tracy ❑Unit 2 <br /> 3. 16850 Tracy Blvd. NF1= Tracy <br /> 4• 425 Larch Road 1(9, I Tracy �S ❑Unit 3 <br /> s- 4131 Industrial Wayog Tracy <br /> 6. 3788 Tracy Blvd. N (V Tracy (l ❑unit 4 <br /> 7. 3940 Tracy Blvd. N I f^I(t/ Tracy <br /> S. 3775 Tracy Blvd. N 6V Tracy 0 Units <br /> 9. 4110 Industrial Wa GV Trac <br /> 10. 1 ❑Unit 6 <br /> Specific Date Range of Information Requested: From 1983 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> iC UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY [jSOLID WASTE FACILDYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS Q MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten 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 12091464-0138 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 /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. 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 for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <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$125 deposit prior to review. —BOXED AREA-EHD USE ONLY", <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHO JB-06 <br /> 4121104 <br />