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12/17/2009 09:55 9163711609 RANEY GEOTECHNICAL PAGE 01/01 <br /> 0 W <br /> (�� DATE RECEIVED SAN SANJOAQUINCOUNTY EHD LOG NUMBER <br /> [j1 ECE V ISLJ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-2708 <br /> U"G 1 7 2009 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ d <br /> ENVIR NMENTHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PE APPLICANT: Jeff Showalter BUSINESS/AGENCY: Raney Geotechnical, Inc <br /> qy <br /> ADDRESS: 3140 Beacon Blvd CIN/STATE/ZIP:W Sacramento, CA 95691 <br /> PHONE(1): 916-371-0434 PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: 1/2/10 Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-muat be confirmed) <br /> ❑CHECK BOX TO EXPEOrrE RE ST-$115.00 FEE(WH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUST ESS D YS <br /> SIGNATURE OF APPLICANT DATE /Z !� Q <br /> Electronic Information: ❑ List❑Map-Descrlptlon: <br /> FILE ADDRESS EHO USE ONLY <br /> Streets Street Name city—� ❑Unit1 <br /> 1, 2403 W. Louise Ave Manteca _11V16 <br /> 2, 2801 B. Louise Ave Manteca Cunit 2 <br /> 3. 2444 E. Lathrop Rd Lathrop <br /> 4. 2715 E. Louise Ave Lathrop n/ <br /> 5. 2901 E. Louise Ave Lathrop <br /> 6. 2112 E. Louise Ave Lathrop na4 <br /> 7. ^700 E. Roth Lathrop <br /> 8. —" -- ❑Unit 5 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILESyyyyyy���,,,������ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [_1 HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE,(NON-LOP) E1Fool)FACILITY WASTE TIRE <br /> D!kMDERCROUND TANK(MDNiToRINNREMom) ❑DOG KENNEL ©DAIRY <br /> MHAZAROOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY ❑MOTELMOTEL ❑PDMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FAGLRY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLfi FOR REVIEW MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 7. Lest up to On addresses In the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 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 notify the applicant if any FHD flees 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 new 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$115,00 deposit prior to review. <br /> EHD USE ONLY <br /> ***If you need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*"* <br /> sHo an.ae 1nln00e <br />