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08/20/2014 16:37 20933383 LODI D4STAIRS• PAGE 02/02 <br /> DATE RECEIV D EHD LOG NUMBER <br /> RECEED SAN JOAQUIN COUNTY <br /> 1 V ENVIRONMENTAL HEALTH DEPARTMENT <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/ahn <br /> ENViRONMENTALHEA iH PUBLIC RECORDS RELEASE APPLICATION <br /> ocondlTlSF"vircS' __ _—' <br /> APPLICANT: Heather Shaddox BUSIN SSIAGENICY: Neil O. Anderson &Associates <br /> ADDRESS: 902 Industrial Way CI /STATEIZIP: 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 date of applioation submittal--rentative only-must ba confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK 0 1 -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE August 21, 2014 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY 1 <br /> Street 7f Street Name City VJ Unit 1 <br /> 1. 200 N.Beckman Road Lodi <br /> 2 880 E. Victor Road Lodi HftVy unite <br /> 3, 845 E. Pine Street Lodi ---— -- �� --- <br /> - _..._. <br /> 6I)s hit <br /> 4. 900 �fpt E.Motor Road k ,' u Lodi �- <br /> _...S. 920 E.Victor Road Lodi /� <br /> 6. 873 E. Pine Street Lodi _ +-- unit 4 <br /> 7. 861 E. Pine Street Lodi <br /> a. 921 E.Pine Street Lodi _ ❑unit 5 <br /> 9. 930 E.Victor Road Lodi <br /> 10. 940 E.Victor Road Lodi Unit6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE.FACILITY OSDUO WASTE FACIUTYNEHICLE <br /> ®OTHER CLEANUP SITE(NoN-LOP) ❑HOUSING ABATEMENT OWASTETIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ®IppII DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ILy WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEI. ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY - ©POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATF601BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RE.viFw: MONDAY-FRIDAY 8:00 AM-S:ODPM(EXCLUDING HOLIDAYS) <br /> 1. List uoto to 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 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 files 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 lmmedi tely 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 reorgan zed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit rrior to review. F;g�xE!? K4A„L5!v,uaplyrn <br /> v .,ixs+ i`•t a .1� r a-s I n « �.ta r a � "� c r 1 r 1 & /�A i` 114'Nil +u��ll°) r <br /> yi %s•' �t'fr r aa �" ""fit a "s d4k�'"F-�) aliA FI( Yv7 Dina { L�tl;u S ' � i$'I'N,� "�II $�,� n k <br /> v M pMI r A p i1e g n n to (d R v �°NN fr j4 ' as > w <br /> :vi"crae`. :.re p > ,: .eYl •» d.,, x , : y, +p3"A.I � `^ �%�'V ,p;V�S`.1 Pi 'y A <br /> i.—f?e'.lA�'^YY1Ci Sf.11'b�Yll 11t°t�rh�`l e��[:AI.4y'CFs _•��Z�.,1.4� H:ii..��„��X51} ,A4 t[;,�Y.� 9flSC. L3N.c �`.�i�t�'ki�'y! <br />