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DATENov4L5`- 2007 3:43 PM 6 anced Geo Environmental No. 0221,HOLP'..IMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202 <br /> Telephone: (209)468-3420 Fax: (209)464.0138 Web:www.sjg0v.or ehl ui�4;� <br /> PUBLIC RECORDS RELEASE APPLICATION g°4 3 <br /> APPLICANT: Maria Carranza BUSINESS/AGENCY; Adlknced GeoEnvirohm <br /> ADDRESS: 83'7 Shaw Rd., Stockton, CA ■&.1; O.Ae <br /> PHONE(1): 209-467-1006 PHONE(2): 209-609-4067 FACSIM <br /> TENTATIVE`APPOINTMENT DATE: ASAP Time: anytime <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS -,, EHD USE ONLY <br /> Street# Street Namenff-_ City El Unit 1 <br /> 1- 9820 East Woodward 0 (JtYJ Manteca <br /> 2. 20500 South Austin o Manteca ❑ unit <br /> �_1.__._ —_.... <br /> 3. 20665 South Austin VV) Ab Manteca <br /> 4. 20675 South AUatin O�iS Manteca Unita <br /> 5. 20855 South Austin —0,0 Manteca <br /> 6. 20909 South Austin �0 1 Manteca Unit4 <br /> 7. 20963 South Austin 0 D Manteca <br /> Fi 6. 11651 Ea9t Palm t ❑ Unif6 <br /> O L(5(�0 rOliS I Manteca <br /> 9, 22005 south Austin —nod ~W Ripon <br /> ---- �Unit 6 <br /> _ 10. 20666 South Austin - 5t � eco <br /> 7 <br /> Specific Date Range of Information Requested: From to <br /> �y/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O1 , !ojUNOERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ..ty SOLID WASTE FACILITYIVEHICLE <br /> w F������///.UTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ WASTETIRE <br /> 0. UNDERGROUND TANK(MONITORING/REMOVAL) 13 Doc KENNEL t7 DAIRY <br /> Lk <br /> A HAZARDOUSWASTE GENERATOR 173 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> V� �IO� 0 TIERED PERMITTED FACILITY Ca MOTELIHOTEL n PUMPER TRUCKIYARDICHEM TOILETS <br /> 11 1 l TATTOO/BODY PIERCING E3 POOLISPA ❑ LANG USE APPUCATION SITES <br /> ❑MEDICAL WASTE FACILITY CI OTHER(PLEASE SPECIFI'� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM5:0oPM - EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses In the space above. Select the type(r)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to L2091 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 behold 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 EMD 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$95.00 deposit prior to review. <br /> EMD USE ONLY <br /> EHD48-06 5/1612007 <br />