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06-27-' 11 10:57 FRAM-Geological Technics T-359 P0001/0001 F-333 <br /> R ECEWE D %.I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUN 2 7 M1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 0 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web. www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tamorah Bryant/Cher Tonge/Elizabet:h Emmons BUSINESS/AGENCY: Geological Technics Inc. <br /> ADDRESS: 1172 Xansas Avenue CITYISTATEIZIP: Modesto, CA 95351 <br /> PHONE(1); (209) 522--4119 PHONE(2): FACSIMILE: (2090 522-4227 <br /> TENTAT1VE*APPOINTMENT DATE: Time: <br /> (Please alloy!10 business days from dale of application submittal-`I'entofivo only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE L d--1 l <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City D Unit 1 <br /> 1 230 Industri&1 Avenue Ripon <br /> 2. 850 W Milego Avenue sa Ripon Unif 2 i <br /> 3 650 1E Milego Avenue Ripon f <br /> 4. 16197 E Milego Avenue Rion ' <br /> P Unit 3 <br /> 5. 16791 E Milego Avenue Ripon <br /> 6. 16790 Milego Avenue Ripon <br /> Unit 4 <br /> 7. <br /> B. <br /> D WINS <br /> L10. <br /> t r. <br /> ©Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE PACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON.LOP) ❑FOOD FACILITY <br /> �1NDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL WASTE TIRE <br /> 'Pi1AlARDOUS WASTE GENERATOR DAIRY <br /> ❑TIERED PERMITTED FACILITY r❑-�CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT . <br /> ❑TIERE DPERMI/BoDy PIERCING iJ MOTELMOTEL ❑PUMPER TRUCKNARWCHE:MICALTOILETS <br /> ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY �3 OTHER(PLEASE SPECIFY) (5AJQ p-, C Ivl n("L ��5 � <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUI') G HOLIDAYS <br /> 1. List up to to dresses In(he space above. Select lho type(s)of files from the list above by checking the appropriate <br /> bOX(e5). At least one file typo MUST be selected. Fax to(2091464-0138 or snail 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 EHp 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 eccordingty. <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 /> A. 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 some applicant may require a$122 deposit prior to review. <br /> EMO VSE ONLY <br /> EHD 48-06 <br /> orlsplto <br />