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12/17/2009 09:55 9163711869 RANEY GEOTECHNICAL PAGE 01/01 <br /> ((�D DATE (REECEIVVE�JD(�� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> LRtECE V l- DD ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-2708 I(Aa �/19 <br /> JAL G 1 7 2009 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ d <br /> EN� IR ( MEW HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jeff Showalter BUSINESSIAGENCY: Raney Geotechnical, Inc <br /> ADDRESS: 3140 Beacon Blvd CITYISTATE/ZIP: 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-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE ST-$115.00 FEE( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS D YS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map—Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city n El Unit 1 <br /> 1, 2403 W. Louise Ave Manteca );CAcP_ ATC W <br /> 2, 2801 E. .touise .Ave Manteca l � <br /> 3, 2444 B. Lathrop Rd - Lathrop <br /> 4. 2715 E. Louise Ave Lathrop <br /> S. 2901 E. Louise Ave Lathrop Iids L iGl`S 3 <br /> fi„ 2112 E Louise Ave 7.atk>xop , 17 nit <br /> 7. 700 E. wRoth ^ Lathrop OSS <br /> 8. <br /> D unit <br /> 9. <br /> 10. <br /> enit <br /> Specific Date Range of Information Requested: From to <br /> NA ENVIRONMENTAL HEALTH DEPARTMENT FILES}}}���,,,��� <br /> JHA7ARDOUS <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE LZ '� Pj�k, <br /> HER CLEANUP SITE(NON-LOP) ) ❑FOOD FACILITY WASTE TIRE <br /> DERGROUND TANK MONITORINGIREMOVAL � ❑DOG KENNEL ❑DAIRY UNI <br /> WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANTRED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS I <br /> ❑TATTOOIBODY PIERCING ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. LLL ua a tpu,qddrerses 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 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 /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A now 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 appllcant may require a$115,00 deposit prior to review. <br /> EHD U3E ONLY <br /> ***If you need fu hej assistance please contact Diane Martinez @ (209)468-34EI5 directly. Thank You*** <br /> No 40.es 7/31/2008 <br />