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01/11/2012 254260106 BUREAU VERITAS PAGE 01 <br /> Rim"EIVED SAN JOAQUIN COUNTY .r- <br /> J 1 1 202 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 ii! <br /> Telephone: (209)468-3420 Pax: (209)464-0138 Web: www.sjgov,org/ehd <br /> ENVIRQNMENTAt HEAL7(i <br /> PERMIT/SERV CES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Philip McLaughlin BUSINESS/AGENCY: Bureau Veritas <br /> ADDRESS: 2430 Camino Ramon, Suite 122 CITYISTATEIZIP:San Ramon, CA 94583 <br /> PHONE(1): 925-496-6512 PHONE(2):92&580.4882 FACSIMILE:925-426.0106 <br /> TENTATIVE'*APPOINTMENT DATE: 1(25/12 Time: 9:30 AM. _ <br /> (Please allow 10 business days from date of application submittal-'Tentefive only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE�(CRAASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 44, n DATE I/it/I—�---- <br /> Electronic Information: ❑ List ❑ Map– escripticn: <br /> 1K1130South <br /> FILE ADDRESS EHD USE ONLY <br /> City ualtCherokee Lane Lodi dj 0 E iIviCherokee Lane Lodi toeckman Road Lodi W a� tto <br /> . 901 Rest Vine Street Lodi unit3 <br /> 6. ZL <br /> nit4 <br /> T - - 21. _ <br /> D I 5. <br /> �_.... 07� 5 ❑UnN6 <br /> LIP(; <br /> 6 <br /> ❑Unit 0 � <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH 5EPARTMENT FILES rr <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILNYNEHICLE <br /> ®OTHER CLEANUP SITE(NO*LOP) ❑FOOD FACILITY2 <br /> ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONRORINGIREMOVAL) Dt— [I DOG KENNEL ❑DAIRY W, <br /> ®HAZARDOUS WASTE GENERATOR (74, ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY OL ❑MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> Lj TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to tan n addssses in the space above. Select the type(s)of flies from the Ilst above by checking the appropriate <br /> box(es). At least one file type MUST be selected Fax to(2091464-0138 or mall to the address indicated shove. 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 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 /> C Anyfileatotreturnedin-the-amwcondition-as released will berearganizzed-byEHOstaff atthe expense ofthe applicant <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> - r <br /> •Mn dn.nrt <br /> PHMt <br />