Laserfiche WebLink
08/20/2014 16:37 2093338303 LODI DOWNSTAIRSPGE.. 02/02 <br />DATE RECEIVED , O L G NUMBER <br />�'� SAN JOAQUIN COUNTY <br />RECEIENVIRONMENTAL HEALTH DEPARTMENT <br />AUG 2 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />0�QrIT/ gPeyfFS <br />APPLICANT: Heather Shaddox BUSINESSIAGEhICY: Neil O. Anderson & Associates <br />ADDRESS: 902 Industrial Way CITY/STATELZIP: Lodi, CA 95240 <br />PHONE (1): 209-367-3701 PHONE (2):209-747-1000 FACSIMILE: 209-333-8303 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal -*Tentative only -must be confirmed) <br />❑ CHECK ROX TO F�CPEDITE REQUEST- $125 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE August 21, 2014 <br />Electronic Information: ❑ List ❑ Map -- Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />/, V1 Unit 1 <br />Street# <br />Street Name <br />N. Beckman Road <br />City <br />Lodi <br />1. <br />200 <br />unit 2_ <br />2 <br />880 <br />E. Victor Road <br />Lodi <br />3, <br />845 <br />E. Pine Street <br />Lodi <br />H <br />v �Q ❑ Unit 3 <br />�,apb.t;,,�,�c�, -- --- - p Unita <br />N�� t�0����� „- L] Unit 5 <br />i 5T Ivl �1 S <br />;4' 4 <br />H LkST (ue C '�51P [&Unit s <br />4. <br />900 <br />E. Victor Road <br />Lodi <br />Lodi <br />5. <br />920 <br />E. Victor Road <br />6. <br />873 <br />E. Pine Street �1 j= <br />Lodi <br />7. <br />8. <br />861 <br />E. Pine Street fJ ���% <br />Lodi <br />921 <br />E. Pine Street <br />Lodi <br />9. <br />930 <br />E. Victor Road <br />Lodi <br />Lodi <br />1-101940 <br />E. Victor Road <br />f f ec*qNrae of InkAo&WuX10: From t' f jeG e*lat I N'o M jT <br />ENVIRONMENTAL HEALTH DEPARTMENT FILESUNDERGROUND TAMC(UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITYoE I'ACILI NEHICLE <br />®OTHER CLEANUP SITE (NON•LOP) ❑ HOUSING A13ATEMFNT ® WASTE TIRE <br />UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY DAIRY <br />® ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL Z WASTEWATER TREATMENT PLANT <br />HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEI. ® PUMPER TRUCKIYARDIC14EMICAL TOILETS <br />® TIERED PERMITTED FACILITY ❑ POOLISPA Z LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING ® COMPLAINTIRESPONSE 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 tote 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 1 he 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. I,;;yBo ED; iR A ;:Us owl <br />J� <br />x - _ <br />