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Jan 03 05C. <br /> 10: 03x ,. <br /> afaer•t Nicholson <br /> '-71'4-3073 <br /> I p. 2 <br /> ZDATE RECEIVED } ' <br /> EHD LOG NUMBER <br /> SAN.JOAQUIN COUNTY <br /> 11 <br /> E1�TEI� ENVIRONMENTAL HEALTH DEPART KENT <br /> 304 E Weber Ave 3 Floor Stockton, CA 95205 <br /> 14A; 3 ZD 09) 8-3420 Fax: (209)464-0138 Web:.wi,,-w.co.san-!joaquu'iLc-&Ius/ehd <br /> 15 <br /> Ik <br /> PUBLIC RECORDS RELEASE APPy,ICA1TTON i <br /> APPLICANT. Bob Nicholson RNC EnviiI <br /> BUSINESS/AGENCY: .,ronmenital <br /> ADDRESS: 9746 Parkiree Way,Elk Grove;CA 95624 <br /> 'f <br /> PHONE: 916-714-3073 916 290 OIOb �l <br /> FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: I 'Time:i <br /> (Please allow 10 business days from date of applkation submittal) <br /> K <br /> EICHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSI1 ESS DAYS <br /> obeksm <br /> SIGNATURE OF APPLICANT �` o h� s.o os�iss"rA �ar <br /> ' DATE <br /> aDepartment Uso Only <br /> FILE ADDRESS I UNIT <br /> 1. 1220 East Pine Lodi a <br /> 2. SKeet 1240 E Pine St Lodi F I D Unit 1 <br /> 3. saeet 213 South Kelly Street Lodi Unit 2 <br /> 4. 9,,., 1220 Victor Rd CRY Lodi C, X 11� <br /> 5. sa�ec 32 N Claff Lodi Unit 3 1 <br /> s, sheet 100 S Cluff Ave Lodi l <br /> 200 S.B d..n C Lodi a$1K1,4.qqS 0-3 0 Unit 4 <br /> s. stmt 9021ndustrial e Lodi /V•�' <br /> Unit 5 <br /> a, street <br /> 10. Street city • <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> HOUSSOLID WASTE FACILITY f <br /> UNDERGROUND TANK(UST)CLEANUP 517E(LOP) FOOD FACILITY NG ABATEMENT SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON4-OP) FOOD FACILITY <br /> L} DOG KENNEL DAIRY <br /> UNDERGROUND TANK(MONITORINGIREMOVA <br /> CHICKEN RANCH PKd'TREATflIt:NT PLANT ` <br /> HAZARDOUS WASTE GENERATOR PUMPER TRUCKIYARDtCHEM TOILETS <br /> MOTEUHOTEL F <br /> OLISPA <br /> I <br /> TIERED PERMITTED FACILITY PO <br /> TELINO I LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING OTHER{PLEASE SPECIFY} <br /> MEDICAL WASTE FACILITY F <br /> 1. List up to ten addresses In the space above. Select the type(s)of files.from the list above by checking <br /> the appropriate box(es). At least one file type MUST be seleC6ed. Fax to(209)464-Q=38 or mail to the <br /> address indicated above. [ <br /> z, EHD will notify the applicant if any EHD files exist An appointr tent for"review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application.-The fifes <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 bell mmedlaWy available for review. new <br /> application may be submitted when the file is available. <br /> q. 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 requir', a$93.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next1business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> d <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHD4s-024)06 b i <br /> BlaRa03 �h <br />