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DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQU[N COUNTY <br /> ENVIRONMENTAL HEALTH DE..PARTMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> 'telephone: (209)468.3420 Fax: (209)464-0138 Web:www.sjg0v.org/ d 7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUSINESSfAGENCY: Nell 0.Anderson &Associates <br /> ADDRESS: 902 Industrial Way, Lodi, CA 95240 4 <br /> PHONE(1): (209)367-3701 PHONE(2): >." ; SI ILE: 4209)369-4228 _ <br /> TENTATIVE"APPOINTMENT DATE: June 14, 2007AM <br /> (Please allow 10 business days from date of application submittal-"Tentative st confirmed) <br /> CHECK BOX TO EXPEDITE RE EST-$95.00 FESICASill OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE JUne 11, 2007 <br /> Electronic Information: 0 List U Map-Description: <br /> FILE ADDRESS _ _ EHD USE ONLY <br /> t k Street NamCit:Street... _. _.._. --.:.._ ❑ Unit <br /> 1. 1011 Broadway Stockton <br /> 2._ ❑ Unn2 <br /> 3. <br /> —.... .--- .. — IleM <br /> 4. Unit a \ <br /> ✓J <br /> -- - - - \ <br /> 5. <br /> 6. "' Unita <br /> 7. - <br /> Is <br /> 8. <br /> - ❑ units <br /> 10. _ <br /> ----- _._ ❑ Unit s <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> O OTHER CLEANUP SITE(NON-LOP) 13Foop FACILITY 13 WASTE TIRE <br /> 14 UNDERGROUND TANK(MONITORINGIREMOVAL) to DOG KENNEL P DAIRY <br /> E3 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY ❑MOTrumOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> D TATToomociy PIERCING Q POOLISPA Q LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY r7 OTHER(PLEASE$PECIPY) <br /> 'WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY.FRIDAY 8:00 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 address Indicated above Address <br /> ranges will not he 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 ton(10) <br /> days after recelpt of application. The files will be held fora 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 he <br /> submitted when the file is avallable. <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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD M-00.81192006 wgp <br />