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04/05/2012 08:54 2093338303 LODI DOWNSTAIRS PAGE 01/01 <br /> RECENED 2H0 LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 'APR 06 2012 ENVIRONMENTAL H H,10EPARTMENT <br /> 600 East Main St. St k I QA 95"�On- Cp Rim <br /> ENVIRONMENTAL HEALTH (209) X68-3420 Fax: (209) (7' '-C 381�t��;;'V'7Sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheng EUSINESS/AGENCY:Neil 0. Anderson &Associates Inc. <br /> ADDRESS; !a02 TIS lastrial Way CiTYISTATEIZIP; Lodi, CA 95240 <br /> I=liaNE(1): 209-747,0640 PHONE(2): FACSIMILE: 209-333-$303 <br /> TENTATIVE*APPOINTMENT DATE: Please ca <br /> (Please allow 10 business days from date of appiicAtlon submittal-"TentAf/ve onl Time: <br /> y-must be confirmed) <br /> ❑ <br /> CHECK,BOX TO EXPEDITE REQUEST-1122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 9USINESS DAYS <br /> SIGNATURE OF APPLICANT Tina Cheney <br /> _ DATE 4-6-12 <br /> Electronic Information: ❑ List❑ Map,Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Stroot Name City <br /> 1 701 UnR1 <br /> p'Q� Par ay Lathro1 �`'a G��� <br /> 2. <br /> 3. -� � unit 2 <br /> 1 iv <br /> A.. i > <br /> 5. ° IJ Unit 3 <br /> 6. 1 <br /> 7. 1J Unit 4 <br /> 9. v 0 Unit 5 <br /> 10. <br /> z <br /> Specific Date Range of Information Requested: From Unit <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES — to <br /> Q UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) <br /> Q 0 HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) <br /> ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL <br /> �]HAZARDOUS WASTE GENERATOR ®DAIRY <br /> ❑CHICKEN RANCH ®�] WASTEWATER TRCATMF-NT PLANT <br /> PA TIERED PERMITTED FACILITY ❑MOTEL/HOTEL <br /> ❑TATTOO/BODY PIERCING OTHER PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> MEDICAL WASTE FACILITY <br /> ❑OTHER(F'I,F-ASE SPECIFY) X❑LAND USE APPI-ICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: hiIONDAY�FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> 7. List un toten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(e3). At least one file type MUST be selected. Fax to 208 464-0138 or mail to the add <br /> _ress indicated above. Address <br /> ranges will not be accepted-for addltlonal 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 EHI]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 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 stay at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> EHD USE ONE.Y <br /> E=48,06 <br /> 07129/10 <br />