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03/12/2008 11:28 2095224227 GEOLOGICAL TECHNICS PAGE 01/01 <br /> 1yEJ 1 J SAN.T014QUIN COUNTY <br /> EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> A P "008 600 East Main Str6o:k Stockton, C.A.95202-3029 <br /> Telephone: (209)468-3420 Eaa I:.l(209)464-0138 Web:vvww.sjgov.o e d <br /> 'I)1'zr'F 1Jt S��r <br /> P�''i�1 Tf;/SFRVIES PUBLIC RECORDLRELEASE APPLICATION <br /> APPLICANT: Elizabeth Emmons � BUSINESS/AGENCY: Geological Technics Inc. <br /> ADDRESS: 1101 7th Street,Modesto,CA 95354 <br /> PHONE(1):(208)522-4110 PHONE(2):�,�' FACSIMILE: (209)522-4227 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Pleaee allow 10 business days from data of dIrplicatlon submittal-"Tentative only-must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST-$9s.Do FEE(C)OH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SI(3 TORE OF APPLICANT j DATE <br /> Electronic Information: ❑ List❑ Map—Descript!"''n: <br /> FILE ADDRESS EHD USE ONLY <br /> &treat# Street Name Gity <br /> ❑ Unit 1 <br /> 1 25501 S Patterson Pass(Tr]-State Motor) 'j Tracy azl <br /> 2. 25705 <br /> S Patterson P s Shell Tra Pum 'j Tracy4S i ❑ Unit <br /> 3. Station) <br /> 4. <br /> 6. Unit 4 <br /> tSI <br /> 7 I' ❑ Unit 5 <br /> 21 l« 8- <br /> 7l <br /> 9. <br /> 10. ❑ Unit e <br /> QF <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL NOBALTH DEPARTMENT FILES �h(pL <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSIIvb ABATEMENT ❑SOLID WASTE FACWTYNEHICLE V` `�/"' <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOODi�O CILITY ❑WASTE TIRE /7j�y/© <br /> UNDERORouND TANK(MONITORING/REMOVAL)� ❑DOG rL41N'NEL �DAIRY IL <br /> .HAZARDOUS WASTE GENERATOR pL ❑CHICkE RANCH Cl WASTEWATER TREATMENT PANT <br /> Cl TIERED PERMITTED FACILITY in MOTEL,,' OTEL ❑PUMPER TRUCKUYARDICHEMTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOIJ PA ❑LAND USE APPLICATION SITES <br /> 17 MEDICAL WASTE FACILITY OTHEA'i1t,PLEASE SPECIFY) s <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR R�VIEW-MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select th0i ype(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MU8T be selected. F.0 1 209 464-01380.r mail to the Address Indicated above. Address <br /> ranges will not be accepted—for addition[assistance�l' ith Rio 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 exlst..';An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held Nr a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A rile that Is actively being worked on by EHD staff may;hot 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!(Oi be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require A 98.00 deposit prior to review. <br /> 044�USE ONLY <br /> EHO 40-00 WEB 9W200? <br />