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_ 08/20/2014 16:37 2093338303 LODI DOWNSTAIRS �� PAGE 02/02 <br />DATE RECEIVED `' " ) F G NUMBER <br />SAN JOAQUIN COUNTY (D <br />RECEIVED ENVIRONMENTAL HEALTH DE ARTMEftr-? <br />AUG 2 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />. T <br />ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />r�nelT/CFRVIrFi -._. <br />APPLICANT: Heather Shaddox <br />BUSINESS/AGENCY: Neil O. Anderson & Associates <br />ADDRESS: 902 Industrial Way CITY/STATEIZIP: Lodi, CA 95240 <br />PHONE (1): 209-367-3701 PHONE (2),209-747-1000 FACSIMILE: 209-333-8303 <br />T/ <br />TENTAVE`APPOINTMENTDATE: w Time: <br />(Please allow 10 business days from date of application submittal - •Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST- $125 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ��_ DATE August 21, 2014 <br />ox-loctronic information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />El Unit 1 <br />Street # <br />Street Name <br />N. Beckman Road <br />City_ <br />Lodi <br />1. <br />200 <br />to s_ + I �`f c H __ un_lt_2__ <br />2 <br />880 <br />E. Victor Road <br />Lodi <br />3, <br />845 <br />E. Pine Street <br />Lodi <br />A>r MNA N cc 5P <br />J vm-5p nit <br />41)bLIKkr3 NC4r�iJ�it� C —' <br />NAp�.yw�rt6 _cow unH 4 <br />Unit5 <br />4. <br />900 <br />E. Victor Road <br />Lodi <br />Lodi - <br />5. <br />920 <br />E. Victor Road NFA <br />6. <br />873 <br />E. Pine Street <br />Lodi _ <br />7. <br />8. <br />861 <br />E. Pine Street (\j <br />Lodi_ <br />921 <br />E. Pine Street j\) )%) <br />Lodi <br />9. <br />930 <br />E. Victor Road <br />Lodi <br />Lodi <br />45T M tsr ,tic cry <br />H - cST(nc. 'MIH L Unit6 <br />10. <br />940 <br />E_VictorRoad <br />Heciliue lyme of In u : From ^See ?JY1dakluttel" <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES5 M H U'j P'trC� <br />®UNDERGROUND TANK (UST) CLEANUP SITE (LOP) Ll MEDICAL WASTE FACILITY o asTE ACILI EHICLE l^� <br />®OTHER CLEANUP SITE (NoN-LOP) ❑ HOUSING ABATEMENT ® WASTE TIRE 1�k <br />® UNDERGROUND TANK (MONITORNGIREMOVAL) ❑ FOOD FACILITY ® DAIRY <br />® ABOVEGROUNDTANK ❑ CHICKEN RANCHI DOG KENNEL ® WASTEWATER TREATMENT PLANThq"7y <br />® HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑ MOTEL/HOTEI. ® PUMPER TRUCKNARDICHEMICAL TOILETS <br />® TIERED PERMITTED FACILITY - ❑ POOLISPA ® LAND USE APPLICATION SITES <br />❑ TATTOO/BODY PIERCING ® COMPLAINTIRESPONSE RECORDS ❑ 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 un to ten addresses in the space above. Select the type(s) of flies 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 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 rive 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 at the expense of the applicant <br />Future file reviews by the same applicant may require a $125 deposit prior to review. XE,.R <br />t� Nw i -1%e "i 1714k L_ Cie". qa) ir+ ;hd-.;p)►e 9 Y)ejCr . <br />40 <br />