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03/09/2005 11:31 209369 NEIL ANDERSON ENQ PAGE 01/0 <br /> n kIM // D EHD LOG NUMBER <br /> lulu( II Iy1�Vl SAN dOAQUIN COUNTY <br /> ED <br /> 9 — 2005 ENVJRONMENTALHEALT11DEPARTMENT <br /> 304 E Weber Ave 3"Floor Stockton,CA 95205 <br /> ENVIRONMENT HEA(70)468-3420 Fax: (209)464-01.38 Web:,Aww.cc).san-joaquin.ca.us/ehd <br /> PERMIT/SERVtWES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Chi Walker. BUSINESS/AGENCY: Nell O_Anderson&Assoc. <br /> APPucANr: P <br /> ADDRESS; 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: r� <br /> 209.367.3701 x19 FAQSIMaE: 209.369.4228 <br /> TENTATIVE*APPOINTMENT DATE: <br /> (plgasa allow 10 buslnaaa days from date of application submmaq <br /> El CHECK BOX TO EXPEDITE REQUEST-$ DO�FEE( QUEST PROCESSED IN 3 BUSINESS DAYS 3 9 0 <br /> SIGNATURE OF APPLICANT _ `k(�// DATE <br /> Department Use Only <br /> UNIT <br /> FILE ADDRESS <br /> V�tnJ 1. Blrc=t 1505Navy Urivc All arc in 9mdtaq 95206 Unit <br /> FI 2. 99eet 1415 Well A-.dMn-Sc CAY <br /> VHF\ l{J'r 9. Seaei I624N=vyl)mv C t�`•' �..: ii X64 �i R2 <br /> \7 aq„y. liT` <br /> y wl A. Ewa 1155 S.Srockmn h. <br /> CM*Y��1-I v�lUs afroel 1501 rh 'W9y Gi Unit 3 <br /> nv-I 8. 90991 144lNnvyDrivc !�- C.�'tSc`� c <br /> rjj1. asset 1AI5 S.Pcrehity,Avc. �Uplt4 <br /> I�,„I�57 e. S'.' 1240 Navy lhivc <br /> �11 H s. Swm 1245 Chncmr Way Cn ❑ Unit 5 <br /> �I U.$ to. 4�rcai 1214 W,Wanhmgt—tit C <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES )700.049 <br /> Z�1DERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT AJILSOLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY [3SOLID WASTE VEHICLE <br /> 2:UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> .F-1 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY 0p PMoTU3PATEL O PUMPER <br /> D USE APPLICATION EM TOILETS <br /> O TATTOOtMEDICAL ODYWAS PIERCING ❑ OTHER(PLEASE 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 bok(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appolntmentfor review will be confirmed <br /> approximately five business days but no later than ten(10)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 /> eno 4042406 <br /> Wimoa <br />