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r <br /> 10/18/2011 08: 14 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> a./ <br /> EHO LOG NUMRER <br /> DATE RECEIVED 1 SAN JOAQUIN COUNTY <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> 0(J T 18 2011 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONENTAL <br /> PERMIT/SERVIC SLS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jeff Showalter BUSINESSIAGENCY: Raney Geotechnical, Inc <br /> ADDRESS: 3140 Beacon Blvd CITY/STATEIZIP: West Sacrament 95691 <br /> PHONE(1): 916-371-04:34 PHONE(2 FACSIMILE: 916-371-1809 <br /> TENTATIVE"APPOINTMENT DATE: 1 25(11 Time: 11:00 AM <br /> (Please allow 10 besmess days from date of application submmal-"rentaaYe only-must be coMVlnad) <br /> ®CHECK BOX TO EXPEOITE REQUEST•Ft 25 FEE( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I I I <br /> Electronic Information: ❑ List❑MailL Description: <br /> FILE ADDRESS EHD USE ONLY <br /> A - Streeta Street Name city _ ❑Unit 7 <br /> _--f61 1 St <br /> 9 Lycoming Street ockton I t <br /> 2. 2610 Lycoming Street; Stockton Unit z <br /> 3. 4421 Giannecchini Lane Stockton 'tt" <br /> 4. _ Unit 3 <br /> 5. <br /> 6. ? iiia It 4 <br /> 7. <br /> art <br /> �,r .... . <br /> B. units <br /> 9. <br /> 10. Unit 8 <br /> Specific Date Range of Information Requested: Fromto <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACIi.ITYNEHICLE 3 <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE I I(�I){'3. )6 <br /> UNDERGROUND TANK(MONITORINGIRtVOVAL ❑DOG KENNEL r❑ryy DAIRY lAA �- ( <br /> HAZARDOUS WASTE GENERAng/rC)f \ ❑CHICKEN RANCH (j WASTEWATER TREATMENT PLANT ID' <br /> ❑TIERED PERMITTED FACILITYK ❑MOTELMOTEL ❑PUMPER TRucKfYARDICHENCAL TOILETS <br /> ❑TATTOOI600Y PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Ren6w: MONDAY-FRIDAY 6:00 AM-5:OOPM(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 208 464-0138 or.maiij tp the address Ind cabsd 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 oxist. 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 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$126 deposit prior to review. <br /> nl. <br /> -( - v 2 <br /> VimEHQK LlU�, <br /> �Z1 `� YIfCG In (. I/i5i0nl( St , f� <br />