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03/09/2005 11:31 209369 NEIL ANDERSON ENVP PAGE 01/0 <br /> no <br /> MW21D SAN TOAQUIN COUNTY EWD LOG NUMBER <br /> " "� <br /> LIAR 9 - 2005 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3`d Floor Stockton,CA 95205 ,Jl <br /> ENVIRONMENT HEAtT O)468-3420 Fax: (209)464-0138 Web:www.cO.san-jOaquin.ca.us/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> Chip BUSINESSIAGENCY:Walker Neil O-Anderson&Assoc. <br /> ADDRESS: 902 industrial Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.367.3701 x19 FACSIMILE: 209.369.4228 <br /> TENTATIVE*APPOINTMENT DATE: S_Time: — <br /> (Plaasa allow 10 businasa days from data of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-E 00 F, EEf jI QUEST PROCESSED IN 3 BUSINESS DAYS <br /> /1� �kJ/[tl/.ffTJ� DATE 9 0 <br /> SIGNATURE OF APPLICANT <br /> / Oapadmanl Use Only <br /> FILE ADDRESS UNIT <br /> 1505 N.7 U61. All rc in Smcktoq 75204 ry Unit1 <br /> \" FIUJ 2 Ve <br /> Sel 1415WatAMlcrvcn S' LJ /� <br /> V�r\w`!l�j'f a Suvel 1624N-ly0�ivc c a� i3'.t.A. It 2 �� <br /> p. 4. 61mx 11,111,1m k"St. CRY <br /> �1�.I�v�G5 Sheol 1501 rhWrt Wcy CI Unit 3 <br /> Ft's^) e. 9vent td4l Novy Drive � - C.✓ZsE c ,,// <br /> rjl` r. Sheol 10.155.PcnMty,Avc. �unit4 <br /> I_I;J�ST e. gpaet 1240 N*vy lhivc <br /> 1245 .hn wq c ❑ Unit 5 <br /> ,__j 9,Sj ,o. seal 1214w.W,.nmst—st c <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DZERGROUND TANK(UST)CLEANUP SITE(LOP) O AILHOUSING ABATEMENT SOLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 19 IINDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> .. HAZARDOUS WASTE GENERATOR CI CHICKEN RANCH PKG TREATMENT PLANT <br /> 22ff <br /> ❑ TIERED PERMITTED FACILITY 0 P��POATEL 0 LAND USE RUCK CATIOIN SfTES01LET3 <br /> ❑ TATTOOIBODY PIERCING ❑ OTHER SPECIFY) <br /> O MEDICAL WASTE FACILITY _ <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies 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 mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant'rf any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(1m)days after receipt of application. The flies <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 new <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 /> S. *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 /> EHD 4842408 <br /> VWX00s <br />