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MUN JAN 01, 2008 01:36 AM <br />DATE RECEIVED I,../ �- EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT 00;II? <br />600 E. Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjg, - 0q <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cheney _ ___ BUSINESS/AGENCY: Neil O. Anderson & Associates <br />ADDRESS: q02 Industrial Way LQdj, {'A 95240 — <br />PHONE(1):(209)367-3701 PHONE (2): __FACSIMILE:-aQA1389-4228 <br />TENTATIVE' APPOINTMENT DATE: Jan 18, 2008 more: <br />(Please allow 10 business days from date of application submittal-*Tentadve only -must be confirmed) <br />FICHECK BOX TO EXPEDITE REQUEST $98.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE January 7, 2008 <br />Electronic Information: 0 List [j Map – Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name ;U4 <br />❑ unit 1 <br />1. 471 Industrial Ave. }r(AJ 0 b <br />230 Industrial Ave. f iponSTi tfZ ❑ unit 2 <br />339 Industrial Ave. _� pon oL <br />�w 320 S. Stockton Street o i 'oes Ipon unit 3 <br />411 S. Stockton Street p� oz�;�(b'r ipon \I <br />nit <br />N'p�1 942 S. Stockton Street AW (01) Ripon tdW o(�:►4G Lo>>a1V2j hG �� <br />222 E. Fourth Street S[ Z ; 4W f 1 Ripon Z ❑ unit s <br />8. <br />9• ❑ Unit6 <br />10. <br />Specific Date Range of Information Requested: From to / I� <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />X UNDERGROUNDTANK (UST) CLEANUP SITE (LOP) HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE \'��Wj 1D G <br />X OTHER CLEANUP SITE (NON -LOP) FOOD FACILITY WASTE TIRE ` 0 <br />X UNDERGROUND TANK (MONITORINGIREMOVAL)✓ DOG KENNEL DAIRY <br />• HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY ✓ MOTELIHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br />TATTOO/BODY PIERCING POOLISPA LAND Use APPLICATION SITES <br />MEDICAL WASTE FACILITY OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW - MONDAY -FRIDAY 8:00 AM6:00PM - EXCLUDING 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 file type MUST be selected. Fax to (209) 464-0138 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 files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. Afile that is actively being worked on by EHD staff may not be immediately available for review. Anew application maybe <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 $95.00 deposit prior to review. <br />EHD USE ONLY <br />