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L�3 � IE-11VE8D 92537159. GEOCON CONSULTAA' EIIPAGELou NUM/01 <br /> DATER <br /> WFU4 <br /> E84 2015 SAN JOAQ.UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMIT/SERVICEfeleph one: (209)468-342_0 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Tim Ber er BUSINESS/AGENCY: Geocon, Inc <br /> APPLICANT: 9 <br /> ADDRESS, 3160 Gold Valley Drive Suite 800 ClrrISTATE/zIP: Rancho Cordova, CA <br /> PHONE(1): (916).8 52-9118; x509 PHONE(2): (916) 849-3258 FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> [] CHECK BOX TO EXPEDITE RE%Q-SY-Si•0 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ L �° 1/` DATE 3/4/2015 <br /> Electronic Information: ❑ List[] Map--Description: Former Spreckels Sugar Plant#2 <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ., ❑Unit 1 <br /> �. 18800 JSOuth Spreckels Road Manteca LA Til <br /> _ keNt'pler ,[rUnit2 <br /> 2. _ OSIr't <br /> �G <br /> 3. -- <br /> ITj _�nit3 <br /> ... may, <br /> S. / d/ �s/�� I]Unit4 <br /> 6. — – <br /> 7. - <br /> ❑Unit 5 <br /> g ~ T <br /> Units <br /> 10, to <br /> Speclflc Date Range of Infonnatlen Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEDICAL WASTE FACILITY ❑X WASTE REE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑ <br /> FOOD FACILITY ❑DAIRY <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) Q CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®ABOVEGROUND TANK PUMPFRTRUCKIYARDICHEMICALTOILETS <br /> ®HAZARDOUS WASTEIWAZARDOUS MATERIALS MOTELIHOEL <br /> POOUSPAT ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED FACILITY ®COMPLAINTIRESPONSE RECORDS F1 OTHER(PLEASE SPECIFY) <br /> ❑TATT00/BODY PIERCING <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEw: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1, I ist u0 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 nic type MUST be selected. Fax to 20914640138 or mail to the address_indfcated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> e held for a maximum of five business days for review, Appointments <br /> days after receipt of application. The files will b <br /> should be scheduled accordingly. licant. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the app <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. `""BOXER AREA-EHD USE ONLY"* <br /> y <br /> z <br /> _. <br /> z <br /> (,F7 <br /> ., gfaff VpR-'CmmnWe: Staff Name: <br /> ' ed Tim.epMa r. 4. _2415___4:04PN=N o,-8364 OPlati�a <br />