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03/09/2005 11:31 209369420 NEIL ANDERSON ENV* PAGE 01/0 <br /> n ICZV EHD LOG NUMBER <br /> w SAN JoAQvJmr COUNTY <br /> ie AN 4 - 7005 E 304 E Weber <br /> 3 HEALTH DEPARTMENT I S� <br /> 304 E Weber AveAvc 3`d Floor Stockton,CA 95205 <br /> ENVIRONMENT HEAtJ®9)468-3420 Fax: (209)464-01.38 Web:www.co.san-joaquin.ca.us/chd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: p <br /> Chi Walker, BUSINESSIACENCY: Neil 0.Anderson&Assoc. <br /> ADDRESS: 902 Indust!:W Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.367.3701 x19 FACSIMILE: 209369.4228 <br /> { <br /> TENTATIVE'APPOINTMENT DATE: J Tima: <br /> (Ploaaa allow 10 buslnass days from date of applicatlon submamal) <br /> CHECK BOX TO EXPEDITE REQUEST- 0 EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 3 9 0 <br /> Depadmenl Use Only 0 <br /> FILE ADDRESS UNIT <br /> All arc in S�ackmn,95304 <br /> --a�"� 1 Btn>a 1505 Navy Uci.c [] Unit 1 <br /> Fi 2. sues, 1415 Wert A�Aemn St CN <br /> 1624 Nnvy Dtivc c - .., iTt:QkRi it <br /> H �, Et2ct 1055 S.Samkmn St. CI <br /> ��.14.,,,11uS sees, 1501 Chancy Wny aty it 3 <br /> weal t44s Nmy Dtivc <br /> r. sxee, 1a15s-peo t>nnor. FUnit4 <br /> H:,1 5T 9. 9ueat 1240 Navy D it +� <br /> H e, smn 1245 Ci,,.t Way, cu ❑ Unit 5 <br /> �J5 lo. seam 1214 W.Waaryfngrm tit C <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES )7000(0.���11NDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT .E SOLID WASTE FACILITY <br /> Z2_I8"f THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 0,,UNDERGROUND TANK(MONITORINGIREMOVAL) 171 DOG KENNEL 13 DAIRY <br /> ..�E�:]71 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH O PKG TREATMENT PLANT <br /> (] TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPERTRUCKrYARDICHEM TOILETS <br /> O TATTOOMODY PIERCING M POOLISPA ❑ LAND USE APPLICATION SRES <br /> O MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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 if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <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 /> has ieaeaae <br /> Naxeoa <br />