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01/28/2008 09:02 2095224 GEOLOGICAL TECHNG PAGE 02/02 <br />T�}yCl)3�T) EHD LOG NUMBER <br />SAN JO UIN COUNTY <br />— ENVIRONMENTAIIi, HEALI'I3 DEPARTME, NT <br />POP, � 600 East Main Strek, Stockton, C.A. 95202-3029 <br />Telephone- (209) 468-3420 Fair; (209) 464-0138 Web: wmw.sj <br />jq, � 1 ,; � �"�kt� � PUBLIC RECORD � RELE ASE A PLICA TION <br />APPLICANT: Elizabeth Emmons _ ,, BUSINESS/AGENCY: Geological Technics Inc. <br />4 J ADDRESS: 1101 7th Street Modesto, CA 95354 _ <br />U PHONE (1): (209) 522-411-9 PHONE (2): _ FACSIMILE (209) 522-4227 <br />\ �,r TENTATIVE" APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of a�plicatlon submittal - "Tsntative only - must be confirmed) <br />c CHECK BOX TO EXPEDITE REQUEST - $98.00 FEE (C1A?H OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Information: 0 List ❑ Map — Descriptih1h: <br />FILE ADDRESS <br />EHD USE ONLY <br />OTHER CLEANUP SITE (NON -LOP) <br />4 F000 0,4CILITY <br />❑ WASTE TIRE <br />Street # <br />Street Name <br />City <br />HA?ARDOUS WASTE GENERATOR <br />El CHICK9twAANCH <br />❑ <br />Unit 1 <br />1. <br />2. <br />1521 <br />1541 <br />Charter Way W (Holt B_rpthers) <br />W olt Broth51 <br />Stockton <br />Stockton : , <br />Cl LAND USE APPLICATION SITES <br />•i' <br />d <br />unit 2 <br />unit 3 <br />Unit 5 <br />3. <br />1145 <br />Charter Way W (independent Trucking) Stockton <br />4. <br />5. <br />2041 <br />Navy Drive (LKQ Auto Parts/LIKA Corp) S oc n <br />B. <br />7. <br />8. <br />L110 <br />Unit 6 <br />4.' <br />Specific Date Range of Information Requested, Fromto <br />ENVIRONMENTAL Hi-,ALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSIPk-.l AeATRMENT <br />❑ SOLID WASTE FAc1urYNeHICLE <br />OTHER CLEANUP SITE (NON -LOP) <br />4 F000 0,4CILITY <br />❑ WASTE TIRE <br />UNDERGROUND TANK (MONITORING/REMOVAL) <br />❑ DOG K0ANEL <br />b DAIRY <br />HA?ARDOUS WASTE GENERATOR <br />El CHICK9twAANCH <br />❑ WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY <br />CIMOTEL11�1p0TEL <br />d PUMPER TRUCK/YARD/CHEM TOILETS <br />❑ TATTOO/BODY PIERCING <br />❑ POOL190AC <br />Cl LAND USE APPLICATION SITES <br />t7 MEWASTE FACILITY-OTHER <br />'DICAL LEASE SPECIFY) <br />'S��,5 <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILA13LE FOR � IEW - MONDAY -FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br />1. List up to ten addresses In the space above. Select the tJyfpe(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fa-I1t209) 464-0138 or mail to the address Indicated above. Address <br />ranges will not be accepted — for additional assistance ;Ylth 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. Ain appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held k41 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 010t 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 W11 be reorganized by EHO staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a,58.00 deposit prior to review. <br />