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DATE RECEIVED I. EHD LOG NUMBER <br /> SAN JOAQUiN COUNTY <br /> ENVIRONMENTAL HEALTH DuARTMENT <br /> 600 B. Main Strcet, Stockton, CA 95202-3029 <br /> 'Telephone: (209)468.3420 Fax: (209)464-0138 Web: www.sjgov.or v d 7 <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT: Tammy Woods RUSINESSIAGENCY: Neil O.Anderson&Associates <br /> ADDRESS: 902 Industrial Way, Lodi, CA 95240 <br /> PHONE(1): (209)367-3701 PHONE(2):_ FACSAb <br /> IMIL <br /> TENTATIVE"APPOINTMENT DATE: June 14) 2007 Time; g:00 AM <br /> (Pleasa allow 10 business days from date of application submittal "Tentative only-must be confirmed) <br /> ❑° CHECK BOX TO EXPEDITE RE EST-$9/5007 FEE JCA.%V OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS bAY$ <br /> SIGNATURE OF APPLICANT d L-- DATE June 11, 2007 <br /> Electronic information: ❑List Q Map—Description: <br /> __.. FILE ADDRESS EHr)USE ONLY <br /> Street e <br /> Streetk treet NamCity - <br /> ... —_........ _..._-'_ �,. � ❑ Unit 1 <br /> 1. 1011 Broadway _ Stockton__ tum <br /> z' — [7 Unit 2 <br /> 3. _..... <br /> 4. Unit 3 <br /> J <br /> 6. UnIL4 <br /> 7 - <br /> 6. <br /> --. ._ - - s%. ❑ units <br /> -- <br /> 10. _.. - -- ..— ❑ unit <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES , <br /> 121 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY (3 WASTE TIRE <br /> 14 UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL P DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR P CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL U PUMPER TRUCKIYARDICHEM TOILETS <br /> Q TATTOOIBODY PIERCING 11 POOV$PA Q LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY 0 OTHER(PLEASF,SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 9. List Lip to ten addrosses 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 t0(209 1404.0138 or mall to the address Indicated above Address <br /> ranges will not be accepted-for additional assistance With file addresses,contact Rhe EHD.Applications received after <br /> $: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 confirmod approximately ton (10) <br /> days after receipt of application. The files will be hold 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 /> l3 •- <br /> EHD 4N-0H 9113=6 w 1) - ^ <br />