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11/04/2008 09:15 916371" RANEY GEOTECHNIC"' PAGE 01/01 <br /> EHQ LOG NUMBER <br /> D)EC4 ? ='veil .I <br /> SAN COUNTY <br /> U ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 952023029 <br /> NOV 4 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www,Sjgov.org/ehd <br /> fvVl�tu �Py� 'dT HLALIK PUDLIC RECORDS RELEASE APPLICATION <br /> Raney Geot;echniQal, Tnc <br /> APPLICANT: Jeff Showalter BUSlN1=SSIAGENCY: y <br /> ADDRESS: <br /> 3140 Beacon ter CitylStAtelzip West Sacramento, CA, 95693. <br /> PHONE(1): <br /> 9!G-371-0434 PHONE(2): FACSIMILE: 916-371-1809 <br /> TENTATIVE"APPOINTMENT DATE: Time <br /> (Please allow 10 business days from date of application submittal-"Tentativo only-must be conflr ,,M <br /> CHECK BOX TO EXPEDITE R ST-$105 FEE OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS ES DAYS <br /> Ix <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# Street Name _ Cid!. © Unit 1 <br /> Stockton <br /> [2. <br /> C sl�0 J 4686 Frontier Way umt2II 3847 Met=roStockton. Avu4113 Gold River L&ne Stockton Unit <br /> 3663 Aoad Stockton <br /> rch R <br /> 4. dt2 /s <br /> _ <br /> Stockton <br /> 5. 3838 -- imperial Way Unit <br /> _ <br /> g 3131 Arch, Road Stockton <br /> 7, 3735 Imperial Way Stockton o /5 r -/V ❑ unit <br /> 8. .,. <br /> 8. ❑ Unit 6 <br /> 19 <br /> 10. <br /> to <br /> Specific Date Range of information Requested: From �� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES � �l <br /> L'1 SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT h�T/� ) � '�IV <br /> 11 FOOD FACILITY 11 WASTE TIRE tai/ o <br /> OTHER CLEANUP SITE(NON-LOP) p Roc KENNEL �DAIRY <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)PK0 CHICKRN RANCH 0 WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR Cl MOTEL/HOTEL C PUMPER TRVCKrYARD/CHEM TOILETS <br /> ITIPRED PERMITTEE)FACILITY 0 LAND USE APPLICATION SITES <br /> 13 TATTOOIBODY PIERCING ❑POouSRA <br /> El MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE POR REVIEW -MONDAY-rRIDAY 8:00 AM-5:00PM " EXCLUDING HOLIDAYS. <br /> 1. List up to ben 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(2091464-0.38 or mall 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. appointment for review <br /> 2 iles exist. An <br /> days after reinotify ceip of athe <br /> aicat application. If any EHD The files will be held for a maximum of five business idays for reviell be confirmed w.approximately <br /> ten(10) <br /> y P pP <br /> should be scheduled accordingly, <br /> t be immediately available far review. Anew application may be <br /> 3. A file that is actively being worked on by EHD staff may no <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$105 deposit prior to review. <br /> EHD USE ONLY <br /> i5 <br /> PUBLIC RECORDS RELEASE APP FORM <br /> EHD 48-06 8104(06 <br />