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10-25-' 10 01;03 FROM-Geol^nical Technics R <br /> - T-891 P001/001 F-298 <br /> DATE RECEIVED �'I'l. a s;- EHb LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> mD EDD <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �J 600 East Main St, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: wvwv.sigov.org/ehd <br /> 6t'j• 2, 5 LOW PUBLIC RECORDS RELEASE APPLICATION <br /> k( �beth <br /> _ BUSINESS/AGENCY: Geological Technics Inc. r` <br /> ADDRESS: 1172 Kansas Avenue CITY/STATE/ZIP: Modesto, CA 95351 <br /> PHONE(1): 209-522-4119 PHONE(2): FACSIMILE; 209-522-4227 t�✓,~�'. <br /> TENTATIVE*APPOINTMENT DATE: The: ; <br /> (Please allow 10 bUSIhP55 days from date of application submittal- Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-SI V_FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Z jryi,rY1 V(,'o DATE <br /> Electronic Information: © List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Strcot# Street Namo City unit 7 <br /> 1. 1710 E California Street Escalon <br /> 2, 1702 Jackson Avenue Escalon UnIt2 <br /> 3- 1714' Main Street Escalon <br /> 4. 1405 California Street Escalon <br /> 5. 1436 First Street Escalon <br /> 6. 1855 Jackson Avenue Escalon 4J Unit <br /> 7. <br /> 8. <br /> Q Unit 5 <br /> 9. <br /> •10. <br /> Unit 6 <br /> Specific Date Range of Information Requested. From All dates available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT -SOLID WASTE FACILITYNEHICLE <br /> THEIR CLEANUP SITE(NON-LOP) ❑FOOD FACILITY BWASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL '❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> QTIERED PERMITTED FACILITY ❑MOTELMOTEL [PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA LAND USE APPLICATION SITES <br /> F3 MEDICAL WASTE FACILITY aOTHER(PLEASE SPECIFY) SWEEPS Data <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(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 12091464.0136 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 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$IZZdeposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> END USE ONLY <br /> EHD 48.00 8127109 <br />