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01/11/2012 1�� T254260106 BUREAU VERITAS PAGE 01 <br /> REIVED SAN JOAQUIN COUNTY _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 12011 600 East Main St. Stockton, CA 95202-3029 JJJ <br /> Tel�ePhone; (209)4683420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENV. IRONMENTALHEa�LT1i <br /> P€RMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Philip McLaughlin BUSINESS/AGENCY: Bureau Veritas <br /> ADDRESS: 2430 Camino Ramon, Suite 122 CITY/STATE2IP:San Ramon, CA 94583 <br /> PHONE (1): 925-498-6512 PHONE(2):925.580.4882 FACSIMILE:925-426.0106 <br /> TENTATIVE'APPOINTMENT DATE: 112512 Time: 9:30 A.M. <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 44'_ ' DATE 1/11/jz_ <br /> IElectronic Information: ❑ List❑ Map- ascription: <br /> FILE ADDRESS EHD USE ONLY <br /> Street III Street Name City El uwt 1. <br /> 1. 1045 South Cherokee Lane Lodi `j 0 r <br /> 2. 1130 South Cherokee Lane Lodi {)n t <br /> 3. 880 South Backman Road _Lodi <br /> 4. 901 East Vine Street - Lodi l0 y Unh 3 <br /> S. 2C <br /> S. It 4 <br /> T' <br /> 6. DI I � <br /> l,L!_....- o L 5 In unit s <br /> 9. <br /> 10. � � ❑junks <br /> Specific Date Range of Information Requested: From to � <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) CA- ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOuS WASTE GENERATOR (" ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY OL 0 MOTELIHOTFL []PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT 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 addinesses In the space above, Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. ax to 2091464-0138 or mall to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with Ole 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 flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 in4he-same conditionas-released will be reafgarfz"byEHD stalfal the expense of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> F.I <br /> Imn Aa.na ann i <br />