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1 r E—AV-4 D 92537159 GEOCON CONSULTAV EHDPAGE LOO NUM/CR <br /> DATER SAN JOAQUIN COUNTY <br /> ��I 1�E 84 2015 <br /> ENVIRONMENTAL HEALTH DEPARTMENT w <br /> r ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 1Vw- <br /> PERMIT/SERVIC%Iephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tim Berger BUSINFSS/AGENCY: Geocon, Inc <br /> ADDRESS: 3160 Gold Valley Drive Suite 800 _ CITYISTATEIZIP: Rancho Cordova CA <br /> PHONE(1): 916 852-9118, 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 REQ ST-$1 0 FEE(CASH OR cliacK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT, DATE 3/4/2015 <br /> Electronic Information: ❑ List[3 Map—Description: Former SDreckels Sugar Plant#2 <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City _ ❑Unit 1 <br /> [4. <br /> 18800 JSouth Spreckels Road Manteca �kgljit <br /> �unit2 <br /> __6n <br /> /f�(� j -17 Unit s <br /> 5, A <br /> 6. 3 [D <br /> 7. _ <br /> 8 ❑Unit 5 <br /> 10. Unit e <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MFDICAL WASTE FACILITY []X SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY E]DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEI. ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATr00IBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List um 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 file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated 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 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 /> 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$130 deposit prior to review. ""BOXED AREA-EHD USE ONLY" <br /> . A r...';A^A � � C+aff_GpR CmmnlaIp-. Staff Name: <br /> ed Time Mar. 4. _2015= 4:04,Pgo. 8264 onlatlaa <br />