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01-10-'13 15:26 FROM-Geological Technics <br /> DATE RECEIVED _ � T-877 F0001/0001 F-328 <br /> Cn ! SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 5 °® - ' ENVIRONMENTAL HEALTH DEPARTMENT v. <br /> JAN 10 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> f 2013 Telephon0: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd I <br /> ENVIRONMENTAL HEALTH <br /> Ra"fir , _ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jenny Weese <br /> ADDRESS: 1172 Kansas Avenue - <br /> BUSINESS/AGENCY: Geological Technics <br /> CITY/STATE/ZIP: Modesto, CA 95357. <br /> r, <br /> PHONE(1): 209-522-411,9 PHONE(2): FACSIMILE: 209-522-4227 <br /> TENTATIVE APPOINTMENT DATE: <br /> (Please allow 10 business days from dale of appbcahon submltial-'Tentative onl Time: <br /> y•must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQ EST-$125 FEE(CASH OR CHECK ONLY)-REQUESY PROCESSED IN 3 qUSINESSDAY <br /> S <br /> SIGNATURE OF APPLICANT n <br /> DATE i I'4 )3 <br /> Electronic Information: ❑ List❑Map-Description: ) <br /> FILE ADDRESS EHO USE ONLY <br /> Strobl# Street Name City <br /> ❑Unit i <br /> 1. 2996 McHenry Avenue Zoe Escalon <br /> 2. 3000 McHenry Avenue Escalon <br /> 3. ❑Unit 2 i <br /> 4. / <br /> S .❑Unit 3 <br /> 8. I T7IG /�(bu//✓ �o q <br /> 7 ' Unit4 <br /> 8. <br /> ❑Unit 5 <br /> ❑Units <br /> Specific Date Range of Information Requested: From to <br /> .�.J, ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> u f <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYNEHICLE <br /> JOTHER CLEANUP SITE(NON•LOP) ❑HOUSING ABATEMENT ❑WASTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑F000 FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOYEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING -❑COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) SVO r4.P S <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) 4 <br /> 1. List u to ten addresses in the space above. Select the type(s)of files from the list above b checking theappropriate <br /> t <br /> P P y 9 <br /> box(es). At least one file type MUST be selected. Fax to(209)454.0136 or mail 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 notifythe applicant if any EHD files exist. An appointment for review Will be confirmed approximately ten(10) f <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. Anew application maybe <br /> submitted when the file is available. } <br /> 4. Any Nle not returned In the same condition as released will be reorganized by EHD staff at the expense of the a»licant. ' <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. r• '� ' <br /> �Yc <br /> EHD 48-BB 914112 f <br /> Received Time n. 10. 2013 3 :28PM No. 208 <br />