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Sep. 4. 2008 10:26AM Aced GeoEnvironmental ` No. 3031 P. 1 <br /> DATE RECEIVED j� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECE,NEDD ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 It 0 <br /> SEP 0 4 2008 Telephone: (209)468.3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONIN ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERIlfftt V raria Carranza Advanced GeoEnvironmental <br /> APPLICANT: BUSINESS/AGENCY: <br /> ADDRESS: 837 Shaw Road City/Statelzip Stockton, CA 95215 <br /> PHONE(1): 209 467-1006 PHONE(2):209 353-6509 FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only•must be confirmed) <br /> CHECK BOX TO EXPEDITE RE EST-870 FE (GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information; ❑ Llst❑ Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street N Street Name City <br /> 333 Carnegie Court Manteca ❑ Unit- q , <br /> Z 400 Industrial Park Drive Manteca ❑ Uni <br /> 3 575 Industrial ParV Drive Manteca Ole <br /> 4 1164 Bessemer Rc&21 Manteca Unk3 <br /> UnN4 <br /> s. <br /> 7, <br /> .._ ..... ❑ Unit 6 <br /> 8. <br /> 9. Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to c� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> jHNDERGROUNO TA14K(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OLID WASTE f=LrTYNEKCLe ' <br /> ER CLEANUP SITE(NON•LOP) ❑FOODFADIUTY ❑WASTE <br /> AT', �IDEROROUNP TANK(MONITORINGIREMOVAL) 0 DOG KENNEL ❑DAIRY <br /> A2ARDOUs WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT v <br /> CI TIERED PERMITTED FACILITY ❑MOTEUHOTEL C1 PUMPER TRUCKIYARD/CHEM TOILETS <br /> la TATTOOISODY PIERCING ❑POOLISPA El LAND USE APPLICATION SITES <br /> ❑MEOICAL WASTE FACILITY ❑OTHER(PLEASE SPEGFY) <br /> WELL AND SEPTIC PERMIT REcORDs ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(e)of files from the list above by checking the appro <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or 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 appllcant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />