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12/17/2009 09:55 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />EHD LOG NUMBER <br />nLVP_:� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-2708 (1-67 <br />iijLC 17 2009 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e7d— <br />ENVIR <br />PEF <br />0 <br />(+ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />Zai <br />APPLICANT: Jeff Showalter BUSINESS/AGENCY: Raney Geotechnical,Inc <br />ADDRESS: 3140 Beacon Blvd <br />PHONE (1) <br />916-371-0434 <br />PHONE (2): <br />CITY/STATE/ZIP: W Sacramento, CA 95691 <br />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 - 5115.00 FEE (C H OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS D YS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EMD USE ONLY <br />[] Unit 1 <br />ccelco <br />n <br />1. <br />street 0 <br />2403 <br />Street Name <br />W. Louise Ave <br />I City <br />Manteca <br />2. <br />2801 <br />E- .Louise Ave N <br />Manteca <br />3. <br />2444 <br />E. Lathrop Rd <br />Lathrop <br />QZ. <br />4. <br />2715 <br />B. Louise Ave <br />Lathrop <br />5. <br />2901 <br />E. Louise Ave <br />Lat.hrop <br />b <br />1 r Unit 4 <br />6. <br />2112 <br />W <br />E. Louise Ave <br />_ <br />� <br />Lathrop <br />7.MTI <br />700 <br />E. Roth <br />Lathrop <br />OCC <br />❑ Unit 5 <br />B. <br />9. <br />_____ <br />nit 6 <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />JMA7ARDOUS <br />DERGROUND TANK (UST) CLEANUP SITE (LOP) [71 HOUSING AF3ATEMENT50LID WASTE FACILITYNEHICLE <br />HER CLEANUP SITF (NON -LOP) ) g ❑ FOOD FACILITY WASTE TIRE <br />DERGROUND TANK (MONITORINGIREMOVAL vim, ❑ DOG KENNEL ❑ DAIRY <br />OTHER <br />WASTE GENERATOR _ ❑ CHICKEN RANCH [] WASTEWATER TREATMENT PLANT IZ- Z/ -j <br />C�( <br />RED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS I <br />❑ TATTOOIBODY PIERCING ❑ POOIJSPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAil-ABLE FOR REVIEW MONDAY -FRIDAY 6:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. j est 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 f209) 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 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 $115.00 deposit prior to review. <br />EHD 40.06 <br />END USE ONLY <br />***zf you need fu hej assistance please contact Diane Martinez @ (209)468-34Z,5 directly. Thank You*** <br />( i t 5 <br />7131 I200B <br />