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RANEY GEOTECHNICAL' <br /> PAGE 02/02 <br /> 04/08/2008 12:23 9163711'8�q <br /> EHO LOG NUMBER <br /> 'Ll1u1U111���� ��FEnCEENEDD �C SAN JOAQUIN COUNTY <br /> APR -- 8 2008 ENVIRONMENTAL PJFALTH DEPARTMENT � 5q <br /> RNVIRONw1ENT HEALTH G00 East Main Stre ,Sty ocktDn,CA 95b: www <br /> 29 <br /> pERM1MENTT z) HERR Tcicpbode: (209)468-3426 & :''(7d�)d6d 0138 Web:www.s gov.or Q <br /> PUBLIC RECORDS RELEASE APPLICATION — <br /> susiNESSIAGENCY:,,_Raney Geotechnical,Inc. <br /> pppLIGANT:_Pvllyentta Bamloh -^—'--�— <br /> ADDRESS:_7140 Beacon Blvd.,West seeramento,CA 95691 <br /> FACSIMILE: <br /> _976. 71-1609 <br /> PHONE(2): <br /> _ 1ErPHONE(1): 9AM <br /> Tim:TENTATIVE"APPOINTMENT DAT <br /> (pleaaa allow 10 business days of a <br /> Wee o 4fl if oas R Wse o 4114 only.-must be confirmed) <br /> 8 00 FE llcat�Q I-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 13 CHECK BOX To EXPEDITEQtl � DATE ---413108__ <br /> SIGNATURE OF APPLICAN <br /> Electronic Information: ❑ List❑Map—DescrlptIOM <br /> EHD USE ONLY <br /> FILE ADDRESS _ <br /> Cl ❑ unit t <br /> Street o Street Name -.--- ry <br /> F <br /> 1. 4030 Pershing Ave.(UOP?) Stockton f" ❑ Unit z <br /> 2. 4131 Crown Ave.(Kohl Ele.School_) Stockton <br /> 3. 1212 Brookside Rd.NOP?) Stockton �. �• p unit7 \\� <br /> 4. 1118 Brookside R&(UOP?) Stockton ,y <br /> 5. 1621 Brookside Rd.(Stagg High School) Stockton unka <br /> B- 44p6 ,/ Pacific Ave. (Pacific Carwash) Stockton S524, RO <br /> 7. 4444 N. Pershing Ave. (Exxon#7.3942) Stockton 3 5; ❑ unit 5 <br /> 9. ❑ unhs <br /> 10. <br /> Specmc Data Range of information Requested:From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O Sotlo WASTE FACILITYNEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 13 WASTE TIRE <br /> X UNDERGROuND TANK(MONITORINGIREMOVAL) 173 000 KENNEL E3 DAIRY <br /> X HAZARDWS WASTE GENERATOR 0CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY 0MOTEUHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOOIBODY PIERCING CI POOLISPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-S;0OPM - EXCLUDING HOLIDAYS <br /> 1. List up to ton addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one Nle type MUST be selected. Fax to 12091464.0138 or mall to the address indicated above. Address <br /> ranges will not be accepted--for additional assistance with file addresses,contact the ENP.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 files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be field 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$98.DO deposit prior to review. <br /> EHD USE ONLY <br /> END 4t)-nil WEB BG/ 7 <br />