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03/09/2005 11:31 20936942 <br /> NEIL ANDERSON ENVT-- PAGE 01/0 <br /> EHD LOG NUMBER <br /> W�11y�9 �D SAN JOAQUIN COUNTY <br /> r„Al s - �no5 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3' Floor Stockton,CA 95205 JlV <br /> ENVIRONMENT HEA(109)468-3420 Fax: (209)464-01.38 Web:www.co.san-joaquin-ca-us/chd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. <br /> Chi}? BUSINESSIAGENCY:Walker Neil O.Anderson&Assoc. <br /> 902 Industrial Way, Lodi,CA 95240 <br /> ADDRESS: 209.369.4228 <br /> PHONE: 209.367.3701 x19 FACSIMILE: <br /> TENTAT IVE*APPOINTMENT DATE: :3 — <br /> (pleasa allow 10 buslnaas days from date of application aubmltlal) <br /> ❑ CHECK BOX To EXPEDITE REQ UESTj14QUEST PROCESSED IN 3 BUSINESS PAYS 3 9 0 <br /> SIGNATURE OF APPLICANT 411 DATE <br /> Depatimant Use Only <br /> ltaG2ss4wNeuotpnuetAi.mra: oe se FILE ADDRESS <br /> c <br /> 9 UNIT <br /> a. nue<mstok <br /> [0] Unit 1 <br /> s. $+ M <br /> 4. s <br /> Unit <br /> wee1501 ChneWy el <br /> e. stntan NmDvCAss <br /> �tn <br /> Unit 3 <br /> e <br /> 1. street IA15S.Pcdmlg nvc. ;200'Unit4 <br /> a sit 1240 Nevy Ihivc <br /> �� H e, sone, 1245(71. m�way C ❑ UnitS <br /> V 1A.5 10. seems tzu w w,Phmsc,»,s't e <br /> / ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �}1NDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT IILSOLID WASTE FACILITY <br /> 2,�PTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY C3 SOLID WASTE VEHICLE <br /> NDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> .��HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH O PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL t7 PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOLISPA In LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1, List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the <br /> address indicated above. <br /> 2. EHD will notify the applicant IT any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review, A now <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE.CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> e110 4e424oe <br /> ae 02 <br />