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0 Ply <br />DATE RECEIVED e} SAN <br />� p p❑g� ppb COUNTY <br />� y �p EHD LOG NUMBER <br />iV <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 �. <br />Telephone: (209) 468-3420 Eau: (209) 464-0138 Web: wvvw.sigov.org/ehd <br />f, I PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Terry Nephew BUSINESS/AGENCY: Kleinfelder Inc. <br />ADDRESS: 5125 N. Gates Ste 102 CITY/STATE/ZIP: Fresno, CA. 93722 <br />PHONE (1): (559) 577-1459 PHONE (2): (559) 647-3942FACSINULE: 5594425061 <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 requested records. <br />CHECK BOX TO EXPEDITE REQU - $130;EE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINES) DAYS <br />SIGNATURE OF APPLICANT 4 DATE �l <br />Electronic Information: List Map - Description: <br />FILE ADI)RESS <br />END USE ONLY <br />- :C`l�\, d X � -' OL",zz <br />Street # <br />Street Name <br />City <br />1. <br />2000 <br />est Turner Rd. <br />West <br />Lodi <br />iMM cLliC-01-10 <br />Unit 2 <br />2. <br />2240 <br />West Turner Rd. <br />Lodi <br />3. <br />401 <br />North Mills <br />Lodi" <br />4. <br />838 <br />Mokelumne <br />Lodi <br />Unit 4. <br />6.' <br />Unit 5 <br />8' <br />9. <br />Unita <br />F0.I <br />I <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />IgUNDERGROUND TANK (UST) CLEANUP SITE (LOP) MEDICAL WASTE FACILIT Y <br />THER CLEANUP SITE (NON -LOP) HOUSING ABATEMENT <br />"INDERGROUND TANK (MONITOMNIG/REMOVAL) FOOD FACILrTY <br />AE30VEGROUND TANK CHICKEN RANCH/ DOG KENNEL <br />HAZARDOUS WASTEIHAZARDOUS MATERIALS MOTELIHOTEL <br />TIERED PERMITTED FACILITY POOLISPA <br />TATTOOIBODY PIERCING COMPLAINT/RESPONSE RECORDS <br />SOLID WASTE FACILITY/VEHICLE <br />WASTE TIRE I J �I <br />DAIRY J <br />WASTEWATER TREATMENT PLANT 12- Z�I <br />PUMPER TRUCKIYARD/CHEMICAL T OILETS� <br />LAND USE APPLICATION SITES <br />OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00Prm (EXCLUDING HOLIDAYS) <br />1. List uo 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. 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 END will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten <br />(10) 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 />Ehu 48-06 OWN14 <br />t1< i Q-C+:�,ci%. �� <br />- :C`l�\, d X � -' OL",zz <br />!fir 1 <br />i .0, i ajn-,t <br />U " i �� in -i-I <br />2"k`01t,Iv i <br />_ , i(L I CD c. -C- 4DI i ✓I 11 T (�)r i <br />C��� b`nisi <br />o a 9,� ,7 t/ <br />.�J LSO <br />Ehu 48-06 OWN14 <br />