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01/28/2008 09:02 20952240 GEOLOGICAL TECHNJ$ PAGE 02/02 <br /> EHD LOG NUMBER <br /> SAN JGhLQUAV COUNTY <br /> T" ` ENVTRONNIENTAI`ki HEALTH DEPARTMENT <br /> JAN 1 ,� 0008 600 East Main Stri4k, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fa. <br /> (209)464-0138 Web:www.sj ���,,,yyyaao <br /> E;v4;RUi�'.���T,� <br /> PMt`i� i t PUBLIC RECO1kELEASE APPLICATION <br /> \AL �APPLICANT: Elizabeth Emmons .lI BUSINESS/AGENCY: Geological Technics Inc. <br /> ADDRESS: 1101 7th Street.Modast0 CA 96354 <br /> t(,Tf�ll 'yi�4 PHONE(1):(209)5223119 PHONE(2): FACSIMILE: (209)622-4227 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 buslnesa days fm <br /> ro_ date of ao(plicatlon submittal-*Taotativo only•most be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-fBB.00 FEE(C/Attp H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List r Map—Descrlpti h: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Sheat Name7 Clry ❑ until <br /> 1- 1521 Charter Way W(Holt Brothers i; Stockton F <br /> 2. 1541 hatteraltRmters) Stockton Jo?r Q ^ GT(�G C L7 unit 2 <br /> 3. 1145 Charter Way W(Independent Trucking) ! Stockton <br /> Unit 3 <br /> 4, 2041 Navy Drive(LKO Auto Parts/LIKA Corp). c n Q �^I`°1 4:" <br /> 5. <br /> 8. <br /> 7. <br /> -_%ASA unit 5 <br /> e. <br /> 9 ❑ unit 6 <br /> y <br /> 10. <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HiIALTH DEPARTMENT FILES <br /> UNDEttOROUNn TANK(UST)CLEANUP SITE(LOP) ❑HOUSHI4(ABATEMENT 0$OuOWASTE FACIUTYrVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD 0AIICILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONnORINO/REMOVAL) ❑DOG KkANEL 0DAIRY <br /> HAZARDOUS WASTE GENERATOR rlCHICKEMIRANCH 13WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O IiIOTEL#qOTEL In PUMPER TRUCK(YARD/CHEM TOILETS <br /> ❑TATTOOISODY PIERCING ❑PO INA G ❑LAND USE APPLICATION SITES <br /> t7 MEDICAL WASTE FACILITY OTHER VCLEASE SPECIFY) SUC1 pS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR q&EW - MONDAY-FRIDAY 8:00 AM-5100PM -EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the 1;)pe(s)of tiles from the list above by checking the appropriate <br /> box(es). At least One file type MUST be selected. Fa 12091464-0136 Gr 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. AD appointment for review will be Confirmed approximately ten(10) <br /> days after receipt of application. The flies will behold fLti'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 rot be immediately available for review. A new application may' <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released dvull be reorganized by EHD staff at the expense of the appliodF <br /> Future file reviews by the same applicant may require a 06.00 deposit prior to review. <br /> EHD!JJSE ONLY <br /> EN6 4546 Mee 007 <br />