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04/08/2008 111(2:23 9163711816 RANEY GEOTECHNICALO PAGE 02/02 <br /> , [ �1l�CD EHD LOG NUMBER <br /> ��b77AAATTTFFF SAN JOAQUIN COUNTY <br /> APR — 8 2008 ENVIRONMENTAL HEALTI-I DEPARTMENT � �� <br /> ENVIRONMENT HEALTH 600 East Main Stree St CCktOn,_CA 95202-3029 <br /> PERMIT/SE Telephone: (209)469-3426 f4X (209)454-0138*eb: www.s'gov.or e <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_Ponyanna Barnloh SUSINESS(AGENCY: Raney Geotechnical,Inc. <br /> ADDRESS:_3140 Beacon Blvd.,West Sacramento,CA 95891 <br /> PHONE(1):_916-371.0434 PHONE(2); FACSIMILE:_918.371.1809 <br /> r <br /> TENTATIVE APPOINTMENT DAT Wee 4/7 if oas R Waeo 4114 Time: AM <br /> (Please allow 10 business days date of a Ilcatio only.must be confirmed) <br /> ❑ CHECK sox 70 ExPEolu .00 FE I-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE �4/3108� <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY _ <br /> Street A Street Name _ Clry �I ❑ Unit 1 <br /> 1. 4030 Pershing Ave. (UOP?) Stockton <br /> 2. 4131 Crown Ave.(Kohl Ele.School) Stockton N, ❑ unaz <br /> 3. 1212 Brookside Rd.(UOP?) Stockton I \� <br /> 4. 1116 Brookside Rd.(UOP?) Stockton l F< Q unna <br /> 5. 1621 Brookside Rd.(Stagg High School) Stockton unit <br /> 6. 4405 ✓ Pacific Ave. (Pacific Canvash) Stockton RO 3go1 <br /> 7. 4444 N. Pershing Ave. (Exxon#7-3942) Stockto" 3 50i ❑ Units <br /> _8. <br /> 9. ❑ unit6 <br /> Specific Date Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> _ X UNDERGROUND TANK JUST)CLEANUP SITE(LOP) 0 HOU91NO A9ATEMENT =3 SO410 WASTE FACILITYNEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE <br /> X UNDERGROUND TANK(MONIrOPINOIREMOVAL) ❑000 KENNEL ❑DAIRY <br /> X HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY 17 MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> El TArr00l000Y PIERCING <br /> Ci POOLISPA 0 LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW -MONDAY-FRIDAY 6:00 AM-S:o0PM -EXCLUDINO 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 appropriate <br /> box(es). At least one Nle type MUST be selected. Fax to 12091464-01.38 ot mall to the aticingas 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 EHD 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 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4048 MES 30007 <br />