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AT "I-&" "c �- 11:14 rhUM <br /> NEC) _I I�11 T-380 PS I/��1 F-97� <br /> U 'I; L J EHn'LOG.NUMBEF2 <br /> ! , SAN JoaQUIN COUNTY. Q y <br /> ENVIRONMENTAL HEALTH ❑ ARTMENT �P <br /> jAN 4 MIG 600 East Main S .S�ockton, 02-3029 <br /> Telephoner(209)468-3420 F (209 (K eb;www-sjgov.orgle d .E <br /> Ef�ViIJ�ln`�Ls1i NRTNPUBLIC RECOR , E APPLICATION <br /> P <br /> APPLICANT.• Elizabeth Emmons <br /> tJISSIAGENCY: Geological . <br /> �F;� Inc. <br /> ADDRESS: 1172 Kansas Avenue 'C TAT�IZIP: Modest--- CA 9��51 <br /> f�HpNE(1) 209-522-4119 PHONE(2); �' 209'-522-4227 <br /> FACSIMILE- <br /> TENTA7"1VE*APPOINTMENT DATE:' Monday, Jan 11, ' 2010 -0-Time; SAMA <br /> (Tease allow 14 business days from date of applicatiart sabmiltal-'Tenfdity¢only-must be Oontlrm64) <br /> M CHECK BOX TO EXPEDITE R QUEST-$115 FEE(GASH OR GHEGK ONLY)-.REQUEST PROGE$$F=D W a g 51NESS DAYS <br /> SIGNATURE OF tf— ` /Y,vv DATE <br /> i <br /> Electronic Information: ❑List❑ Map-description: <br /> FILE ADDRESS END USE ONLY <br /> Street# 8traot NaM6 City <br /> Unit 1 <br /> 1,27, <br /> 15000 Schulte Road Tracy <br /> 14700 Schulte Road T�:acy �s� 9/ <br /> 4. <br /> ni <br /> 5. <br /> nit a <br /> 7. iS. <br /> `` �, A. <br /> 8. a ©units <br /> 10. Unit s <br /> Specific Date Range of Information Roq,iested. From All date'b ,_available io i. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE } <br /> UNDERGROUND TANK(MONITOMNGIREMOVAL) ❑DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR d CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY d MOTELIHOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING E]POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY N OTHER(PLEASE SPECIFY) SWEEPS Data <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAYS) k <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from tho list above by checking the:lappropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0136 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 EHD files exist, An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 EHO staff may not be immediately available for review. A new application may he <br /> submitted when the file is available. s <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 deposit prior to review, <br /> S. If you need further_ assistance,please contact Diane Martinez,at(209)480-3425. j <br /> EN+]USE ONLY <br /> I <br /> 4 <br /> . r <br /> I' L� <br /> END O-QQ - - 8127[Q9 <br /> I <br />