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DATE RECEIVED 0 SAN JOAQUIN COUNTY <br />%Ir I� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 F. Main Street, Stockton, CA 95202-3029 <br />I ; CIt7 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Hf 51'„ PUBLIC RECORDS RELEASE APPLICATION <br />W <br />APPLICANT: <br />EMD LOG NUMBER <br />BUSINESSIAGENcy: Neil O. Anderson & ASSOOIateS <br />ADDRESS: 907 Industrial Way Lodi CA 95240 <br />PHONE (t): (209) 367-3701 PHONE (z): FACSIMILE: (209L369-4228 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal .'Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $95.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE June 25, 2007 <br />Electronic Information: ❑ List 8 Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />9 UNDERGROUNDTANK (UST) CLEANUP SITE (LOP) <br />Street if <br />Street Name <br />City - <br />Escalon <br />.5fA MTAZ,V f3 ❑ Unh I <br />1. <br />2. <br />13282 <br />-_- <br />Escalon Bellota Road_ <br />25883 <br />_ <br />Edwards Road <br />Escalon <br />N® 00, ❑ Unit <br />3. <br />4. <br />5. <br />❑ MOTEL/HOTEL <br />.. <br />_...— <br />unit3 <br />0 LAND USE APPLICATION SITES <br />Unit4 <br />6. <br />... <br />...... <br />7. <br />❑ Unit 5 <br />13. <br />g• <br />_._ ..-._ <br />❑ Unita <br />10. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />9 UNDERGROUNDTANK (UST) CLEANUP SITE (LOP) <br />13 HOUSING ABATEMENT <br />Q SOLID WASTE FACILITYNEHICLE <br />El OTHER CLEANUP SITE (NON -LOP) <br />13 FOOD FACILITY <br />13 WASTE TRE <br />* UNDERGROUND TANK (MONITORINGIREMOVAL) <br />i7 DDG KENNEL <br />13 DAIRY <br />GI' HAZARDOUS WASTE GENERATOR <br />93CHICKEN RANCH <br />O WASTEWATER TREATMENT PLANT <br />A YIERED PERMITTED FACILITY <br />❑ MOTEL/HOTEL <br />0 PUMPER TRUCK/YARDICHFM TOILETS <br />Q TATTOOIBOOY PIERCING <br />Q POOLISPA <br />0 LAND USE APPLICATION SITES <br />D MEDICAL WASTE FACILITY <br />O OTHER (PLEASE SPECIFY) <br />WEU. AND SEPnc PERMIT RECORDS ARE AVAILAELE FOR REVIEW - MONDAY -FRIDAY a: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) 464-0136 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 FHD files exist An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will behold 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 />EMD USE ONLY <br />Q <br />