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04-La li LL;27 FROM Geological Tac}mics T-251 P0001/0V01 F-988 <br /> DATE RECEIVED %%W 1#-W4 EHD LOG NUMBER <br /> SAN �CAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> % a <br /> 600 e=ast Main St, Stockton, CA 95202-3029 X0 <br /> � 209 <br /> Telephone. 4 - <br /> P ( ) 68 3420 Fax: (209)464-013$Web:www,sjgay.+afglehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIGANT:E1i ��Emmons/Jenny Meese BUSINESS/AGENCY: Geological Technics Inc_ <br /> ans�is venue <br /> � f CITY/STATEIZIP: tdodesto, CA 95351 <br /> (209) 522-4119 PHONE 2 <br /> FACSIMILE: (209) 522-9227 <br /> TENTATIVE°APPOINTMENT L)ATL: Time: <br /> (Please allow tp basiness days from date of appileation Submittal 'Tentative only-must be conftrrn¢d) <br /> ❑CHECK BOX TO LXPEDITE REQUEST-$12�1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �(� <�LGC' DATE <br /> Electronic Information: M List I]Map J Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> I <br /> 2771 French Camp Road Manteca 3�'� <br /> 3. Unit <br /> 4. <br /> 5 f <br /> 6. I <br /> 7. <br /> 8, <br /> g•10. <br /> Specific pate Range of Information Roquasted: From to <br /> ENVIRONMENTAL HEALTR DEPARTMENT FILES <br /> ❑D UNOERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABAYEMENr ❑SOLID WASTE FACILfTYNEHIGLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ©FOOD FACILITY <br /> f� MONITORING/REMOVAL ❑WA$YETIRE <br /> UNDLRGROUNOTANK <br /> ( } �DOG KENNEL ❑DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> El TIERED PERMITTED FACILITY El WASTEWATER TREATMENT PLANT <br /> ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/$PA <br /> ❑LANA USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY MOTHER(PLEASE SPECIFY) (5weeps Report, Emergency or complaint ca113) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RFVIFW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 7. list ua 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(2091464-0138 or trail 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 help 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 some 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$122 deposit prior to review. <br /> EHOLIM ONLY <br /> 40 n r 140 <br /> Euo 48.06 <br /> nzfsa 10 <br />