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04/08/2008 12:23 916371' 19 1 RANEY GEOTECHNI� PAGE 02/02 <br /> fU D �EE V � EHO LOG NUMBER <br /> �7jj� SAN JOAQUIN COUNTY <br /> APR - 8 2008 ENVIRONMENTAL HEALTFT DEPARTMENT 43 !5q <br /> ENV1RONh1ENT HEALTH C00 East Main Stream Stockton,CA 95202-3029 <br /> PERMIT/SERKES Telephone: (209)468-3426 1 !'" Y 9)4bd`0138'Web: www -gov.or e <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:—Pofiyanna Bamlch <br /> BUSINESSIAGENCV: RRney Geotechnical,Inc. <br /> ADDRESS:_314o Beacon 131vd..West sacramonto,CA 95691 <br /> PHONE(1):,916-371.0434 PHONE(2)' FACSIMILE:_916371.1509 <br /> TENTATIVE`APPOINTMENT DAT W.. W N poss.OR Week of 4114 only Ti must be tonfhmed) <br /> (Please allow 10 business days date of a Ilcatio y- <br /> ❑ CHECK BOX TO EXPEDITE .Oo FE )-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE 4/3/08-- <br /> Electronic information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 _ — Street Name city ❑ Until <br /> [ — I <br /> 4030 Pershing Ave.(UOP?) Stockton �- <br /> 4131 Crown Ave.(Kohl Fie.School) Stockton �6 µyd 111 d b -vb Axy ❑ Unit <br /> 1212 Brookside Rd.(UOP?) Stockton <br /> N 1116 Brookside Rd.(UOP?) Stockton A& Lv4 \t� <br /> 1621 Brookside Rtl.(Stagg High School) Stockton 2. I 0� <br /> 4405 Pacific Ave. (Paclfic Carwash) Stockton t , ' of - G <br /> "1 7 4444 N. Pershing Ave. (Exxon#7-3942) Stocktonid <br /> ❑ unit <br /> 8. <br /> g, ❑ unit 5 <br /> 10. <br /> Specific Date Range of Information Requested: From __All to (wl e4 y- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES lV J <br /> X UNDERGROUND TANK(U$T)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT :3 SOLID WASTE FACIUTYIVEHICLE f �� <br /> X OTHER CLEANUP SITE(NON-LOP) U FOOD FACILITY ❑WASTE TIRE 'J�I F-v <br /> X UNDERGROUND TANK(MONITMINGIREMOVAL) M DOG KENNEL L1 DAIRY _/"/ <br /> X HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY 0 MOTELIHOTeL 0 PUMPER TRuc KIYARDICHEM TOILETS <br /> ❑MEDICAL <br /> FPIERCING <br /> Q POOLISPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICgL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECoevS ARE AVAILAULE FOR REVIEW • MANDAY.FRIDAY 8:00 AM-5:OOPM • EXCLuuNG HOLIDAYS. <br /> 1. List up 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 2011 464-0138 ot mall 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 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 46-nn wEa ereaom <br />