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07/28/2009 10:15 9163711"19 RANEY GEOTECHNICAI PAGE 01/01 <br /> FHD LOG NUMBER <br /> 114 L'�f1 E— <br /> SAN JOAQUiN COUNTY <br /> ENVTRONMENTA.L HEALTH DEPARTMENT <br /> d 2009 304 East Weber Avenue,3`d Floor,Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/eb <br /> 5 500% <br /> ENV1 1 N,'JI,W11 HEALTH <br /> PER N-',iT/StRVICES PUBLIC RECORDS RX,LEASE APPLICATION <br /> APPLICANT: Jeff Showalter BUSINESSIAGENCY: Raney Geotochnical,Inc. <br /> ADDRESS: 3140 Beacon Blvd.,Wast Sacramento,CA 95891 <br /> PHONE(1): 916-371-0434 x31 PHONE(2): FACSIMILE: 918.971.1809-, <br /> TENTATIVE"APPOINTMENT DATE: a110109 Time:—AM <br /> (Please allow 10 buslness days from date of application submittal-"Tentative only-must ba conflnned) <br /> d CHECK BOX TO EXPEDITE REQUEST.$93-00 FEE(CASH OR CI1E�,K�GNLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Jeff Showalter l DATE 7!28109 <br /> UNIT DISTRIBUTION M Unit 1 M Unit 2 D Unit 3 M Unit-4 ❑Unit 5 ❑ Unit 8 ❑ Other(olectronle/ll !maps) <br /> FILE ADDRESS EHD USJON Y <br /> Street 8 Mot Name City <br /> 1. 4547Frontier way Stockton 4 <br /> 2, <br /> 3. <br /> 4. <br /> 5. _ <br /> T6, <br /> 7. <br /> 8. -- <br /> 9, <br /> 10. <br /> Specific Date Range of Information Requested:From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HQUSING ABATEMENT LID WASTE FAG E E R I/VI C <br /> X CJ HER CLEANUP SITE(NON-LOP) ❑KooD FACILITY ASTE TIRE V SW <br /> li <br /> X UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL In DAIRY <br /> X HLROOUS WASTE GENFRATDR M CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT /Cy7 <br /> �XJERED PERMITTED FACILITY CI MoTELJHOYEL 0 PUMPER TRUCKNARD/CHEM TOILETS <br /> . .ATTDO/BODY PIERCING Q POOLISPA / LAND USE AP?ucATION SITES <br /> X EDICAL WASTE FACILITY N-F OTHER(PLEASE SPECIFYI <br /> WELL AND SEPTIC PERMIT RECORDS ARe AVAILABLE FOR RpmEw- MONDAY-FRIDAY -5:00PM - EXCLUDI! 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or m il_ tea o the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> _ r <br /> EHD 40.02908 <br /> 1114105 <br />