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Oct. 15, 2014 9 : 19AM GEVQIS ENGINEERING & REDEVELOP No. 1970 P. 2 <br /> EHD LOG NUMBER <br /> RWVED SAN JOAQUIN COUNTY <br /> ��11 ENVIRONMENTAL HEALTH DEPARTMENT tgq <br /> OCT 15 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (2091464-0138 Web: www.sjgov.org/ehd <br /> ENVIFIONMENTAIIFIEAt_TH PUBLIC RECORDS RELEASE APPLICATION <br /> PES..rrn` .ul('F4 <br /> APPLICANT: Todd Williams BUSINESSIAGENcY: Genesis Engineering & Redev. <br /> ADDRESS: 351 Ruess Road CITY/STATEIZIP; Ripon, CA, 95366 <br /> PHONE(1): (209) 599-2004 PHONE(2): FACSIMILE: (209)433-3990 <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 reque0ted records. <br /> []CHECK BOX TO EXPEDITE T 130\F E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN.3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT r. JJoo)) DATE 10/15/2014 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> 1085 -' ' `' -`-'rManteca (Poe. <br /> 1• S. Union Load <br /> 2. iLL Unit 2 <br /> 13. <br /> 4. OI��II� ,(]Unit3r <br /> 5. <br /> 6. /a l ❑Unit 4 <br /> 7, <br /> 8. -O Units <br /> 10. :Q Unit 6 <br /> Specific Date Range of Information Requested: From 1960 to October, 2014 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®� UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYfVEHICLE <br /> lXl OTHER CLEANUP SITE(NON-LOP) M HOuSINQ ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®AgOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WAsT0A7ARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑X TIEREO PERMITTED FACILITY ❑POOLISPA X❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCINGXQ COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 9. List up to ten addresses in the space above. Select the type(s)of files from the Ile It above by checking the appropriate <br /> box(es). A(least one file type MUST be selected. Fax to(209)464-0138 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 EHID 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 /> provided <br /> Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-08 00/01114 <br /> Received Time Oct, 15, 2014 9: 19AM No, 7335 <br />