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DATE RECEIVED EHD LOG NUMBER <br /> ���DATE RECEIVE: �VJJJJ S SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> l1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ✓1. ��Q Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tina Cheney BUSINESS/AGENCY: Neil O. Anderson &Associates <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP:Lodi, CA 95240 <br /> PHONE (1): 209-747-0640 PHONE (2):209-367-3701 FACSIMILE:209-333-8303 <br /> TENTATIVE'APPOINTMENT DATE: 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 Tina Cheney DATE September 25, 2013 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 1� . <br /> 1. 1340 W.Charter Way LvjjS o Stockton • <br /> 2. 1310 W.Charter Way Stockton ❑ Unit 2 <br /> 3. 1323 W.Charter Way . Stockton <br /> 4. 1245 W.Charter Way ajS* -'P a-0\jn Stockton • �Ej unit 3 ` <br /> 5. 1145 W.Charter Way - ¢ -v1q Stockton • L1&&ILS, <br /> 6.. 1501 W.Charter Way IA -t{i, tockton • 3 (e CA a unit a t6 <br /> 7. 1819 S.Argonaut St a Stockton I files blvG 14b�1) <br /> 8. 1777 S.Argonaut St AveStockton ❑Unit 5 <br /> 9. 1745 S.Argonaut St knmStockton CM-J tul 3 113 <br /> 10. ❑ Units <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY X SOLID WASTE FACILITYNEHICLE <br /> X OTHER CLEANUP.SITE(NON-LOP) F]HOUSING ABATEMENT E]WASTE TIRE <br /> X UNDERGROUNDTANK(MONITORINGIREMOVAL) ❑FOOD_FACILITY- . . - - [–]DAIRY <br /> XABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT - <br /> XHAZARDOUSWASTEIHAZARDOUSMATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> X TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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 mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. ,Appllcations.recelved 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 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. —BOXED AREA-EHD USE ONLY <br /> ERexc-.1dspr.7vded Staff-PPR Complete. Staff Name: <br />