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10-25-'10 01:03 FR011-6 logical Technics : T-891 P001/001 F-298 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY o <br /> � (I rte, ENVIRONMENTAL HEALTH DEPAR � <br /> I, �c��JJ 600 East Main St. Stockton, CA 95202.30293029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> bo 2. 5 cull PUBLIC RECORDS RELEASE APPLICATION <br /> EN �VjUiJIVI Ll ESbeth BUSINESSlAGENCY: Oeological Technics Inc. <br /> ADDRESS: 1172 Kansas Avenue CITYISTATEIZIP: 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 date of application submittal•`Tenlaffya only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST TljZ FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 OU31NESS DAYS y <br /> SIGNATURE OF APPLICANT <r � !'Gc( f�.FiM�(V1J!1 DATE ((71�s JI fi j <br /> Electronic Information: ❑ List❑Map-Description: 0.0 <br /> FILE ADDRESS EHD USE ONLY <br /> Slrect C Street Name City EI Unit i <br /> 1. 1710 E California Street Escalon pip 1 J6 (A� <br /> 2, 1702 Jackson Avenue Escalon c W UP/%f r Un112 <br /> 3. 1714' Main Street Escalon Tk9 <br /> 4• 1405 California Street Escalon <br /> 5. 1436 First Street Escalon �b4tt I'1 xi 496 ��� <br /> 6. 1855 Jackson Avenue Escalon <br /> 7. <br /> B. ❑Unit 5 <br /> Q„- � 9. <br /> 7� 10. unite <br /> 4'AAMV10(, Spoclic Date Range of Information Requested: From All dates ayailable .to <br /> 11��;; ENVIRONMENTAL HEALTH DEPARTMENT FILES (Ale <br /> p UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT ®-ziOLIDWASTE FACIUTYNEHICLE :31 1 y'Fj <br /> fir,' THER CLEANUP SITE(NON-LOP) El FOOD FACILITY }WASTE TIRE <br /> Jed` .®UNDERGROUND TANK(MONRORINGIREMOVAL)(x ❑DOG KENNEL �DAIRY �O <br /> E3HAZARDOUSWASTE GENERATO'°��J,�t v ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT �J" <br /> `S TIERED PERMITTED FACILITY \ ❑MOTELIHOTEL PUMPERTROCKWARDICHEMICAL TOILETS <br /> n A ❑TATTOOIBODY PIERCING ❑POOLISPA BUND USE APPLICATION SIYE6 <br /> WT J43 MEDICAL WASTE FACILITY JaOTHER(PLEASE SPECIFY) SWEEPS Data <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM.S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten 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(209)464.0138 or mail 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. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of eve 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 flip 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$Iadeposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD V$E ONLY <br /> EH04840 $127109 <br />