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08/21/2012 12:17 _ 9163711809 RANEY GEOTECHNICAL PAGE 01/01 • EHD LOG NUMBER DATE RECEIVED SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT C)EIVE 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd AUG. 2 17,09 ENVIRONMENTALUEALffi PUBLIC RECORDS RELEASE APPLICATION APPLIGANI: UeLA R�� West Sacramento ADDRESS: 3140 Beacon Blvd CITYISTATEOP: PHONE (1): 916-371-0434 pHONE(2): 916-869-2148 FACSIMILE: 916-371-1809 TENTATIVE' APPOINTMENT DATE: Time: 10:00 AM (Please allow 1a business days from date of application submittal -'ronfative only- must be confirmed) ❑ CHECK 90X TO EXPEDITE ST - $125 FEE (C CHECK ONLY) - REQUEST PROCESSED IN 3 6USIN SS DAYS DATE SIGNATURE OF APPLICANT % Electronic Information: E] List ❑ 7. unieIr 8. 9. unit i 10. to Specific Data Range of Information Requested: From ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FAGUiT*YNEHICLE /' �, d UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑WASTE TIRE )� (j Q %W / t 1 OTHER CLEANUP SITE (NON -LOP) El FACILITY UNDERGROUND TANK (MONITORINGIREMOVAL) G� ❑ DOG KENNET. ❑ DAIRY 1j . - ��Z HAUdi000S WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATERTREATMENNTT PLA ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTF.L C]PUMPER TRUCKIYARDICHEMICAL TOILETS ❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICALWASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM^5:00PM (ERCLUDING HOLIDAYS) 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (208) 464-0138 or mall to the address indicated above. Address ranges will not be accepted -for additional assistance with file addresses, contact the END. Applications received after $:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the fire Is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future fire reviews by the same applicant may reoulro a 5125 donnsit nrinr in mvrn.0 ' r I J � • i ir%7 r • r< r rr r 0 M i/! i x, �1�1�AA�►'111�%:IRI • . v� Ad Lima _Mml 1 Iwn.wv. ip� /' V ,-K-M c>,/ 4 L Wr 1 a Tf/y e t wrn a7Y;E)6343 S�Enuiz('bth Received Time Aug.21. 2012 12:44PM No, 0927 I6iY�2. (� Street Name City A� I $ North Alvarado Ave Stockton ,r8 V� North Alvarado Aveluf Stockton N Unit 2 r F384o Coronado Ave Coronado Ave Stockton Stocktono� unk3 Stockton y f Enterprise St Stockton East Alpine Ave Stockton/ West Ln Stockton Z N / umlt4 West Ln 7. unieIr 8. 9. unit i 10. to Specific Data Range of Information Requested: From ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FAGUiT*YNEHICLE /' �, d UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑WASTE TIRE )� (j Q %W / t 1 OTHER CLEANUP SITE (NON -LOP) El FACILITY UNDERGROUND TANK (MONITORINGIREMOVAL) G� ❑ DOG KENNET. ❑ DAIRY 1j . - ��Z HAUdi000S WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATERTREATMENNTT PLA ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTF.L C]PUMPER TRUCKIYARDICHEMICAL TOILETS ❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICALWASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM^5:00PM (ERCLUDING HOLIDAYS) 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (208) 464-0138 or mall to the address indicated above. Address ranges will not be accepted -for additional assistance with file addresses, contact the END. Applications received after $:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the fire Is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future fire reviews by the same applicant may reoulro a 5125 donnsit nrinr in mvrn.0 ' r I J � • i ir%7 r • r< r rr r 0 M i/! i x, �1�1�AA�►'111�%:IRI • . v� Ad Lima _Mml 1 Iwn.wv. ip� /' V ,-K-M c>,/ 4 L Wr 1 a Tf/y e t wrn a7Y;E)6343 S�Enuiz('bth Received Time Aug.21. 2012 12:44PM No, 0927 I6iY�2. (�