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08/03/2014 12:00 209333830 LODI DOWNSTAIRS PAGE 02/02 <br /> DATE RECEIVED FHD LOG NUMBER <br /> SAN JOAQUIN COUNTY �7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT !(Srdi <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG 0` Z�jelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENyfRONMENTALHF-ALTH <br /> ��enTIGERv(cEs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tonya Scheftner BUSINESS/AGENCY: Neil O. Anderson &Associates <br /> ADDRESS: 902 Industrial Way CITY/STATEIZIP:Lodi, CA 95240 <br /> PHONE (1): 209-367-3701 PHONE (2):209-747-1000 FACSIMILE:209-333-6794 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data 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 DATE July 4,2014 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> $treat# Street Name City <br /> _ Unit1 <br /> 1. 392 E.Moffat Blvd. Manteca T z <br /> lvttifi <br /> -2. 430 E.Moffat Blvd. Manteca Unit 2 <br /> 3. 466 E Moffat Blvd. Manteca mo Lo(17 <br /> / Z <br /> 4. 372 E.Moffat Blvd. Manteca diunit3 <br /> 5. 205 - E.Wetmore Manteca U D? •tt �y7 �/ <br /> 6. 293 E.Wetmore Manteca P <br /> i unit <br /> L7. 301 E.Wetmore Manteca800 Moffat Blvd. Manteca n�0ab ,,D Aly Unit 5 <br /> 369 E.Moffat Manteca 346 E.Moffat Manteca /7 P IL]Un1t 8 <br /> Specific Date Range of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHIC!}L^E 'e ^ �`9 <br /> BOTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE �jl�IQjn N� W`/,I <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)� ❑FOOD FACILITY ® DAIRY YA 7-)),I -t o <br /> ®ABOVEGROUND TANK 04 ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALV_ ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMIcALTOiLETS 0 a <br /> ® TIERED PERMITTED FACILITY.c E]POOLISPA ®LAND USE APPLICATION SITES \^tR }}} <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) N O <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) M <br /> 1. List Li to ten addresses in the space above. Select the F <br /> Lin type(s)of files from the list above by chocking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address o v <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 EHD files exist An appointment for review will be confirmed approximately ten(10) ckc <br /> days after recelpt of application. The files will be held for a maximum of five business days for review. Appointments 3 <br /> should be scheduled accordingly. �4 C� <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 ;�6 <br /> submitted when the file is available. n <br /> 4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expense of the ap licant. c�' <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> n� 'qtr � 'P•' „ �: to . 3... V. r .F fih, <br /> r •� I� � Iy <br /> ,'a x' �, i r• .s� �s .r, r' ,r'4 <br /> We,Celved 11m,eliA,U .,. ..51V,14?( 14.4 - - 3 .'tj '' "�. ' - ry. <br /> -Al- - r o: P . ... -M. 0 . . � 3 9 � IOCo) .� .z wef**'P c� <br />