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j 07/11/2012 12:59 9163711809 RANEY GEOTECHNICAL PAGE 01/01 <br /> ■ <br /> ■ <br /> ■ <br /> ■■ <br /> ■ RECEIVED SAN <br /> LOG NUMBER <br /> DATE R <br /> SAN JOAQUIN COUNTY <br /> C E_G� tl1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JUL [Q'#lephone: (209)468-3420 Fax. (209)464-0136 Web:vvwva.sjgov.org/ehcI <br /> ENVIRONMENTAL HEALSH <br /> PEM4IT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESS/AGENCY: <br /> APPLICANT: 7A. r CInc. <br /> ADDRESS: 3xa�0��s��c Cf1Y/STAT I-/ZIP: ramento. CA_95691 <br /> PHONE(1): 916-371-0434 PHONE(2): FACSIMILE: 916-371-1809 <br /> TENTATIVE*APPOINTMENT DATE: July 20, 2012 Time: <br /> (Piease allow 10 business days from dato of a ication submittal-`Tcntat;ve only-must be confirmed) <br /> ❑ <br /> CHECK BOX TO EXPED E _OU <br /> 5125 FEE{C SH MECK ONLY)-REQUEST PROCESSED IN 3 BUSIN SS DAY <br /> SIGNATURE OF APPLICANT PATE <br /> Electronic Information: ❑ List❑ Ma Descriptio <br /> _ FILE ADDRESS M EHD use ONLY <br /> OStreet Street Name city ❑Unit 1 <br /> 1. ~ <br /> 1440 PERFORMANCE DR STOCK70N <br /> [� 2 5476 S AIRPORT WAY STOCKTON 1 ( V7 ` (� U t2 <br /> 3. 5503 S AIRPORT WAY STOCKTON <br /> 4• 7759 S AIRPORT WAY STOCKTON 1 `� % Unit 3 <br /> 7. <br /> ❑Unit r, <br /> 10. M ❑Unit 6 V <br /> Spaclflc Date Range of Information Requested: From to �I <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES , <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLF. �� <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE ' 1 <br /> �y� <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)(� ❑DOG KENNEL ❑DAIRY v ' 11nnii <br /> HAZARDOUS WASTE GENERATOR 9, ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY v-'� ❑MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOWBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY X❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un 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(209)464-0138 or mall to the address Indicated ab Address <br /> 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 S125 deposit prior to review. <br /> Ar _ <br /> - y- ., 16-_2 - <br /> � —7 9' Ai.q. <br /> FHb AB-06 'Illi <br /> Received Time Jul, 11, 2012 1 :26PM No. 0524 <br />