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11/30/2010 3:49PM FAX 7149647509 ANCHOR ENVIRONMENTAL m0001/0001 <br />EHD LOG NUMBER <br />Rb"�' 1VE SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />NOV 3 0 2010 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Thomas MCKerr BUSINESSIAGENCY: Anchor Environmental <br />ADDRESS: 8592 Acapulco, Huntington Beach CA 92646-2636 <br />PHONE (1): 714 290 0073 PHONE21: tomckerreaol.com FACSIMILE: 714 968 7509 <br />1 <br />TENTATIVE` APPOINTMENT DATE: <br />(Planes allow ton business days fr <br />13 CHECK BOX TO EXPEDITE <br />SIGNATURE OF <br />Time: <br />ay.m at be confirmed) <br />Y) - REQUEST PROCESSED IN TH EE 13U/IINESS DAYS <br />to DATE f/7�5O // b <br />Electronic Information: ❑ Lis ❑ Map - D sc 'tion: <br />From 1/1/97 <br />to Present <br />Street a <br />FILE ADDRESS <br />EHD USE ONLY <br />m Unit T <br />N P <br />Street Name City <br />1. <br />2. <br />1220 <br />142 <br />Victor Road _ Lodi <br />C1ufL Avenue Lodi <br />�4, �IUoLO/y unitz <br />Unii 3 <br />3. <br />4. <br />0 FOOD FACILITY <br />S. <br />8. <br />21 UNDERGROUND TANK (MONITORIrNA�G,�IREMOVAL)\ <br />- Unit4 <br />❑ DAIRY <br />& <br />HAZARDOUS WASTE GENERATosDL <br />0 CHICKEN RANCH <br />CT Unit6 <br />10. <br />MTIERED PERMITTED FACILITY <br />o unit 6 <br />17-13 <br />Specific Date Range of Information Requested: <br />From 1/1/97 <br />to Present <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />FILES <br />I rte /j1— <br />ffUNDERGROUND TANK [UST) CLEANUP SITE (LOP) <br />O HOUSING ABATEMENT <br />m SOLID WASTE FACILFFYNEHICLE <br />/, �i17 v/R <br />MOTHER CLEANUP SITE (NON -LOP) <br />0 FOOD FACILITY <br />O WASTE TIRE <br />W7 i <br />21 UNDERGROUND TANK (MONITORIrNA�G,�IREMOVAL)\ <br />CI DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATosDL <br />0 CHICKEN RANCH <br />I2F WASTEWATER TREATMENT PLANT <br />J /l <br />MTIERED PERMITTED FACILITY <br />0MOTEUHOTEL <br />IN PUMPER TRUCKIYARWCHEM TOILETS <br />0 TATTOOIBODY PIERCING <br />0 POOL/SPA <br />❑ LAND USE APPLICATION SITES <br />CI MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 5:00 AM-5:00PM - EXCLUDING HOLIDAYS <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be Selected. Fax to (209) 464-0138 or mall to the above address. Address ranges will <br />not he accepted - for additional assistance with file addresses, contact the FHD. Applications received after 3:00 pm will <br />be processed the next business day. <br />2. The EHD will notify the applicant H any END files exist. An appointment for review will be confirmed approximately ten <br />days after receipt of application. The files 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 the EHD staff may not be Immediately available for review. A new application <br />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 of the applicant. <br />Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br />EHD USE ONLY <br />