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e �8_/,20/2014 16:37 209333830.3 LODI DOWNSTAIRS �MMPAAlGEE02/02 <br /> DATE RECEIV D Ty 41 COFPDH <br /> � ,u NUMBER <br /> RECE' " E® <br /> ENVIRONMENTAL HEATH DEPARTMENT u <br /> AUG 2 2 2014 1866 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wArw.sjgov.org/ehd <br /> ENVIRONMENTAL HEW PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Heather Shaddox BUSINESS/AGENCY:Neil O. Anderson&Associates <br /> ,ADDRESS: 902 Industrial CITY/STATE/ZIP: Lodi,CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2):209-747-1000 FACSIMILE:209-333-8303 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from deka of application submittal-"Tentative only-must be confirmed) <br /> t SS ❑ <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> S�St <br /> DATE August 21, 2014 <br /> SIGNATURE OF APPLICANT <br /> ctronic Information: ❑ List ❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city /`� 171 Unit 1 <br /> -- . ._._--- ---... ........ _. <br /> 1. 200 N.Beckman Road Lodi ST c <br /> _ :1 ! <br /> 880 E.Victor Road Lodi MM S, ,r»"ceR� H "W Jr�un_it_2_ <br /> 3, 845 E. Pine Street Lodi �r nnM H c"SP /} <br /> 4. 900 E.Victor Road Ivy LodiNecc5p /0 unit 3 <br /> 5. 920 E.Victor Road N FI✓ Lodi Luui-3 L� p� <br /> S. 873 E, Pine Street LodiND61 unit4 <br /> 7. 861 E. Pine Street <br /> _ l��f% Lodi rnP� s�e�cc-'P e <br /> 8. 921 E.Pine Street (�})%) Lodi n1DQ7 i.SOrcw ❑Units <br /> e 9. 930 E.Victor Road Lodi tr M as1 ric a sp <br /> 10. 940 E.Victor Road Lodi Sr( MtH Cc Unit 6 <br /> ec1 tf� ria of in ` u : From ^ '.i2e PI►'KU "E! <br /> e ENVIRONMENTAL HEALTH DEPARTMENT FILES PA It US cce <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE.FACILITY 0 ASTE ACI EHICLE NW-'�7 <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING A13ATEMENT ®WASTE TIRE 1�� <br /> ®UNDERGROuNDTANK(MONRORINGIREMOVAL) El Fool)FACILITY ® DAIRY he7g <br /> ® ABOVEGROUNDTANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PI ANT <br /> A" <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS []OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to to addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(cs). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above. 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 EHD flies exist An appointment for review will be confirmed approximately ten (10) <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 EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff atthe expense of the ap licant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. E REA!s <br /> p, r'f• . _ :>? �. r v""y,r•;x-, i '�;� "s r Y i� '7:%n N pY� �I' tl v C;,' }�i <br /> 40 <br /> s4 t <br /> *: T e �nVylr •�S � ., h dt�l Mp .•.e r� :. <br /> CU0 ftWLOF'ttxrpf in Nw It VW�jirjitit-- f.¢°"4goI int 4)w+- 1;e t� ✓IC `� , , <br />