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11/04/2008 09:15 916371" -'9 RANEY GEOTECHNIrP'. PAGE 01/01 <br /> EHI)LOG NUMBPR <br /> SAN .1OAQUIN COUNTY �4ze <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)4683420 Fax: (209)464-0138 Web. www,sjgov.org/ehd <br /> NOV2008 <br /> ENVt;•;t1Wy1EA i HEAUK PUBLIC RECORDS RELEASE APPLICATION <br /> P�'' <br /> FF,INIi I'l^ \ Ia p= Raney Geotechnical, Inc <br /> r - <br /> APPLICANT: ,Teff Showalter BUSINESSIAGENCY: <br /> ADDRESS: <br /> 3140 Beacon B7.vd City/Stnte/Zip Wast SacramentP, CA 95693. <br /> 916-3 71-0 4.3 4 PHONE(2): FACSIMILE: 916-371-1809 <br /> PHONE(1): <br /> al <br /> TENTATIVE*APPOINTMENT DATE: l -M <br /> (Please allow 10 business days from date of application submittal-'Tentativo only-must be confit <br /> 10 CHECK BOX TO EXPEDITE RVXLEST.$106 FEE OR CHECK ONLY)-REQUEST PROCESSED INL31BIUASE-5 DAYSSIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS _ _ _ EHO USE ONLY <br /> F1468 <br /> Street Nm © Unit 1 <br /> St~ockt:on � d cO.rantiex Way�? Metro DriveStockton, m db,IJ�4V ❑ unit2 <br /> Gold River Lane Stockton 1Jnit3 <br /> L' stockton db <br /> 4_ 3663 Arch Road _ <br /> -- Stockton <br /> S <br /> . 3838 Imperial way Unit <br /> ` S,NOCp 5i° <br /> 3131 I�rch, Road . - Stockton �T`°L_ ♦+ ,OE � <br /> 3735 Imperial Way Stockton Deco o /5 ^/1l ❑ Unit <br /> 8. <br /> unit 6 <br /> 10. _ <br /> Specific Date Range of Information Requested: From to �- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICL£ /' <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 FOOD FACILITY 0 WASTE TIRE Nv )�y IA <br /> OTHER CLEANUP SITE(NON-LOP) <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)lk ID DOG KENNEL E3 DAIRY <br /> HAZARDOUS WASTE GENERA70f 0 CHICKRN RANCH ❑WASTEWATER TREATMENT PLANT <br /> HAZA D OUS WAST FACILITY ❑MOTELIHOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS <br /> TIPRD TATTOO/PERMITTED <br /> ODY PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> I-]MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPrCIPY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 6'00 AnA-S:OOPM - EXCLUDING HouuAYs. <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(2091 464.0 38 or mall to the address In Icated 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. approximatelyappointment for review ll be confirmed ten 10 <br /> 2 iles exist. An <br /> dayEHD will s after receipt of application,plpation,licant IThe files wf any FHD ill be held for a maximum of five business ldays for review. Appointments ( ) <br /> y P PP <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$105 deposit prior to review. <br /> EHD USE ONLY <br /> PUBLIC RECORDS RELEASE APP FORM <br /> EHD 4B-O6 B/04108 <br />