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Sep. 4. 2008 10:26AM Aded GeoEnvironmental . No. 3031 P. 1 <br /> DATERECEIIVEDSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 It 06 <br /> SEP 0 4 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIROMNIEA_JBUSINESS/AGENCY:T HEALTH PUBLIC RECORDS RELEASE APPLICATION 11! <br /> PER' / aria Carranza Advanced GeoEnvironmental <br /> APPLICANT: <br /> ADDRESS: 637 Shaw Road City/State/Zip Stockton, CA 95215 <br /> PHONE(1): 209 467-1006 PHONE(2):209 353-6509 FACSIMILE: 209 467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Thus: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE RE EST-$10 FE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS <br /> DAYS <br /> SIGNATURE OF APPLICANT ` DATE <br /> Electronic Information: ❑ List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street S Street Name City Unk 1 <br /> 333 t400 industrial Carnegie Court Manteca ❑ <br /> 2. etrial Park Drive Manteca ❑ Uni <br /> vi <br /> 3 575 Indu6traal FarTc Drive Manteca <br /> 4. 1164 Bessemer Road Manteca Unit3 - <br /> 5. d� —N--(� RbINAL fF� Sif�KTq�I 1 <br /> 8 ------ unit a <br /> T, ❑ Unit 6 <br /> 8. .00 <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES , al — <br /> A# <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT )"OLID WASTE FACIUTYNEHICLE <br /> OERCLEANUP SITE(NON-LOP) 171 FOOD FACILITY ❑WASTE TRE <br /> .-IY fIDEROROUND TANK(MONITORINGIREMONAL) ❑DOG KENNEL ❑DAIRY <br /> RDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑ PUMPER TRUCKfYARD/CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING ❑POOLISPA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY CI OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6000 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 appro <br /> hax(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall 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 flies 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 now 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 /> END 48-08 8104108 PUBLIC RECORDS RELEASE APP FORM <br />