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' 04-01-'13 17;00 FROM-Geological Technics T-913 P00 1 001 F-467 <br /> ■ <br /> i■ DATE Ecrvf q g SAN JOAQUIN COUNTY <br /> UMBER <br /> rr �TEK3 � V f ® <br /> Ir ENVIRONMENTAL HEALTH DEPARTMENT '� I I <br /> APR 41 2013 1868 East Hazelton Avenue, Stockton, CA 95205 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: Tvww.sjq o g/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/bREAVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jenny Weese BUSINESS/AGENCY: (ground Zero Analysis <br /> ADDRESS: 1172 Kansas Avenue CITYISTATEOP• Modesto, CA 95351 <br /> PHONE (1): 209-522-4119 PHONE(2): FACSIMILE: 209-522-4227 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-*Tentative only-must be confirmed) <br /> CHECK SOXTO EXPEDITE BEQUEST-$125 F1515(CASH OR CHECK ONLY)-REOUESTPROCESSED IN 3/IBUSINESS DAYS <br /> SIGNATURE OF APPLICANT VO Q9 ` DATE <br /> Electronic information: ❑ Lis - Map-Description: <br /> FILE ADDRESS EHD U5E ONLY <br /> Street# Street Name City /9 171 Unit 1 <br /> 1. 145 Trevino Avenue Manateca V) Ina ' fik <br /> k2. 1434 W. Yosemite Avenue Manteca t2 Unit2 <br /> . 11-� P . <br /> C.al 3 <br /> A'�lnit 3 <br /> 4. <br /> 6. f"' Q'17nit 4 <br /> 7. <br /> 8. 401 0 <br /> Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FAC ! EHI� F; -`L <br /> OTHER CLEANUP SITE(NON-LOP) ElHou%o ABATEMENT ❑WASTE TIRE l0 ��5 /'Y� <br /> UNDERGROUND TANK[MONITORIWIREMOVAId�_ ❑FOOD FACILITY ❑DAIRY N—y—i 3 <br /> BOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEMAZARDOUS MATERIALS()( ❑MOTEUHOTEL ❑PUMPERTRUCKNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) Sw Cc P S <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List u0 to ten addresses in the space above. Select the type(s)of flies from the list above by chocking the appropriate <br /> box(®s}—At Isest-one-filetype-MUS-T-be-selected—Faxto-1209)-464-0136-ormaii-to-lhe-addressindieated-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 he 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$125 deposit prior to review. WWRIPERWIMMUM <br /> e- <br /> ENO 18-05 -- 21X12 <br /> Received Time � . 2013 5:02PM No. 2723 <br />