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MUN JAN 01, Z008 01::36 AM <br />PAGE 2 <br />DATE RECEIVED EHD LOG NUMBER <br />SAN JOAQ[ IN COUNT <br />ENVIRONMENTAL HEALTH DEPARTMEN3orz <br />600 E. Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 1N'eb: www.sjg <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cheney----- — ---- --- _ _— BUSINESS/AGENCY: Neil 0. Anderson & Associates <br />ADDRESS: ��1nS�l1CI1�L,L9ij1��4Q--------------------------------- <br />PHONE (1): _CM9) 367_3701—__---_— PHONE (2): --- —FACSIMILE: 209 369-4228 <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 />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: M List [j Map - Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City ❑ Unit 1 <br />1. 471 Industrial Ave. } p ( N- <br />230 Industrial Ave. !Uqoipon 57) t�Zi❑unit z <br />8 339 Industrial Ave. PO <br />7, O Z U <br />�w 320 S. Stockton Street o i 'UCS ' 'Pon Unit 3 <br />411 S. Stockton Street 6 D*U4 r ipon UGjT \J <br />nit <br />942 S. Stockton Street 01) Ripon (jW oi�%►4G'a>>�NZ) �tG <br />222 E. Fourth Street %' 0Z ; 4W f 1 Ripon I❑ unit s <br />8. o i') <br />g' ❑ Unit 6 <br />10. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE <br />(NON -LO <br />X OTHER CLEANUP SITE NON -LOP FOOD FACILITY WASTE TIRE o <br />X U NOERGROUND TANK (MONITORING/REMOVAL) DOG KENNEL DAIRY <br />X HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY V MOTEL/HOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br />TATTOO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY 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 $95.00 deposit prior to review. <br />EHD USE ONLY <br />EHD 48-06 9/13/2006 web <br />