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01/22/2015 4:56:32 PM —0600 Terracon Fax Server E 2 OF 2 <br />Imo'; <br />DATE RECEIVED ! E LOG NUMBER <br />SAN JOAQUIN COUNTY 7 <br />RECEIVEuENVIRONMENTAL HEALTH DEPARTM NT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />JAN 23 2015Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 0 <br />a - <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Heather Shaddox <br />BUSINESS/AGENCY: Neil O. Anderson & Associates <br />ADDRESS: 902 Industrial Way CITY/STATE/ZIP: Lodi, CA 95240 <br />PHONE (1): 209-367-3701 PHONE (2):209-747-1000 FACSIMILE: 209-333-8303 <br />TENTATIVE* APPOINTM ENT DATE: Time: <br />(Please allow10 business days from date of application submittal - *Tentative only - must be confirmed) <br />❑ CHECKBOXTO EXPEDITE REQUEST- $125 FEE (CASH OR CHECKONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE January 22, 2015 <br />Electronic Information: ❑ List ❑ Map — Description: <br />Street # <br />FILE ADDRESS <br />Street Name <br />City <br />EHD USE ONLY <br />,: El Unit 1 <br />1. <br />1127 <br />Industrial Way <br />Lodi <br />Lodi <br />F — <br />p unit 2 <br />2. <br />1301 Industrial Way <br />3. <br />1025 <br />Industrial Way <br />Lodi <br />Lodi <br />� C. <br />�"� <br />R'�M <br />El Unit 3 <br />4. <br />1250 Thurman Street <br />S. <br />810 <br />S Cluff Avenue <br />Lodi <br />Lodi <br />Ne <br />©'Cjnit 4 <br />6. <br />1150 Thurman Street <br />7. <br />1122 <br />Industrial Way ' 1 <br />Lodi <br />t� <br />LAP`�w ' W <br />LT�St�t <br />❑ Unit 5 <br />8. <br />7 <br />9. <br />4•.t44 <br />❑-Unit 6 <br />10. <br />Specific Date Range of Irit-orfmatioin*6—q--'est�ed: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />®UNDERGROUND TANK (UST) CLEANUP SITE (LOP) MEDICAL WASTE FACILITY MSOLID WASTE FACILITYIVEHICLE <br />®OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ® WASTE TIRE <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY M DAIRY <br />® ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ® WASTEWATER TREATMENT PLANT <br />® HAZARDOUS WASTENAZARDOUS MATERIALS ❑ M OTELIHOTEL Z PUMPER TRUCKIYARDICHEMICAL TOILETS <br />® TIERED PERMITTED FACILITY ❑ POOLISPA ® LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING N COMPLAINT/RESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 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 $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY <br />PNV'dek !NAP_ �ec./ ��� ' I Is' 'i N�kt? fsr F4WA i^p <br />Rece i ved Timer<Jali. 22. _20%ff 2:49PGNo. 79 0.SlaffName: <br />