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MUN JAN UY, 2008 07:36 AM PAGE 2 <br />DATE RECEIVED 11-1 EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main Street, Stockton, CA 95202-3029 0006, <br />' <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.or <br />OP <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cheney BUSINESS/AGENcy: Neil 0. Anderson & Associates <br />ADDRESS: AM Industrial Way Lcidi (_ .A 95240 <br />PHONE (1): _C209j 367-3701 PHONE (2): _FACSIMILE: UQ900A22$ <br />TENTATIVE* APPOINTMENT DATE: Jan 18, 2008 Time: <br />(Please allow 10 business days from date of application submittal -'Tentative only - must be confirmed) <br />CHECK BOX TO EXPEDITE REQUEST $98.00 FEE (CASH OR CHECK ONLY) . REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE January 7, 2008 <br />Electronic Information: ® List Ej Map — Description: <br />From <br />FILE ADDRESS <br />EHD USE ONLY <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Street # <br />Street Name City <br />❑ Unit 1 <br />1. <br />471 <br />Industrial Ave. #W0 1 <br />FOOD FACILITY <br />230 <br />Industrial Ave. / iPon <br />5% tt7- ❑ Unit 2 <br />(0 Z' <br />A. <br />339 <br />Industrial Ave. Pon <br />X HAZARDOUS WASTE GENERATOR I/ <br />320 <br />S. Stockton Streeto� ' ES ipon <br />UnNB <br />X TIERED PERMITTED FACILITY ✓ <br />411 <br />S. Stockton Street 66 0 ;UST ipon Lj <br />e(�;14Cy�o%1)a H2 h/ nits <br />) 7 <br />TATTOO/BODY PIERCING <br />942 <br />S. Stockton Street Aw 01) Ripon (jW <br />222 <br />E. Fourth Street it 2 : 1 Ripon <br />Z ❑ unit 5 <br />8. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAYH:OO <br />pG5 n(� <br />9. <br />❑ Unil6 <br />10. <br />Specific Date Range of Information Requested: <br />From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Iq <br />X UNDERGROUND TANK (UST) CLEANUP SITE CLOP) <br />HOUSING ABATEMENT <br />SOLID WASTE FACILITY/VEHICLE <br />f' <br />X OTHER CLEANUP SRE(NOWLOP) <br />FOOD FACILITY <br />WASTE TIRE <br />o <br />X UNDERGROUND TANK(MONTORINO/REMOVAL)✓ <br />DOG KENNEL <br />DAIRY <br />X HAZARDOUS WASTE GENERATOR I/ <br />CHICKEN RANCH <br />WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY ✓ <br />MOTELMOTEL <br />PUMPER TRUCK/YARD/CHEM TOILETS <br />TATTOO/BODY PIERCING <br />POOLISPA <br />LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY <br />OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAYH:OO <br />AM-5:OOPM . 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 (2091464-0138 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. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <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 />