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MUN JAN 01, 2008 07:36 AM PAGE 2 <br />DATE RECEIVED 0 . EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT Oq 600 E. Main Street, Stockton, CA 95202-3029ov.o <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgr <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cht:neyBUSINESS/AGENCY: Nell 0. Anderson & Associates <br />ADDRESS: _9M Industrial Way lOdL CA 95240 <br />PHONE (1):,.(-2099)367_3701 PHONE (2):_ FACSIMILE: =91369-4m$ <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 7 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE ,January 7, 2008 <br />Electronic Information: 0 List [] Map — Description: <br />From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I q <br />X <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />X OTHER CLEANUP SITE (NON -LOP) <br />HOUSING ABATEMENT <br />FOOD FACILITY <br />FILE ADDRESS <br />o (j Ic.1/ <br />o <br />X UNDERGROUND TANK(MONITORING/REMOVAL)II <br />EHD USE ONLY <br />DAIRY <br />l • 4 <br />Street If <br />Street Name <br />WASTEWATER TREATMENT PLANT <br />Clty <br />X TIERED PERMITTED FACILITY ✓ <br />❑ unit 1 <br />1. <br />471 <br />Industrial Ave. <br />POOLISPA <br />230 <br />Industrial Ave. r <br />ipon <br />OTHER (PLEASE SPECIFY) <br />SY/ ttZ/ <br />OL U <br />❑ Unit 2 <br />A. <br />339 <br />Industrial Ave. <br />pon <br />7 <br />unit a <br />. <br />8 <br />9. <br />10. <br />320 <br />S. Stockton Street p� '0e <br />ipon <br />411 <br />S. Stockton Street pt, p r ipon Lj <br />p� a <br />o(�, 6� �dli2 nit <br />' 14 01 % <br />) h 6r <br />942 <br />S. Stockton Street "W 01) Ripon (JW <br />222 <br />t <br />E. Fourth StreetS[ oz ; *—, Ripon <br />Z <br />❑ Units <br />/1 <br />�� Q(` <br />❑ Unit 6 <br />Specific Date Range of Information Requested: <br />From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I q <br />X <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />X OTHER CLEANUP SITE (NON -LOP) <br />HOUSING ABATEMENT <br />FOOD FACILITY <br />SOLID WASTE FACILITY/VEHICLE <br />WASTE TIRE <br />o (j Ic.1/ <br />o <br />X UNDERGROUND TANK(MONITORING/REMOVAL)II <br />DOG KENNEL <br />DAIRY <br />l • 4 <br />X HAZARDOUS WASTE GENERATOR <br />CHICKEN RANCH <br />WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY ✓ <br />MOTEL/HOTEL <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 REVIEW - MONDAY -FRIDAY <br />8:00 AM-5:00PM - 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. 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 />