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03/09/2005 11:31 209*228 NEIL ANDERSONiVIRO PAGE 01/0 <br /> mk nn ED EHD LOG NUMBER <br /> 1((�^M" I0�/\B1,/�/ SAN JoAQuiN COUNTY <br /> IIAK 9 — x(105 ENVIRONMENTALHEALTH DEPARTMENT I S� <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 Jl <br /> ENVIRONMENT HEA(10)468-3420 Fax: (209)464-01.38 Web:www,co.san joaquin.ca.us/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORAS RELEASE APPLICATION <br /> Chi Walker. suslNEssrAGENCY: Neil 0-Anderson&Assoc. <br /> APPLICANT: Chip <br /> ADDRESS 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.367,3701 x19 FACSIMILE: 209369.4228 <br /> �3 3 -5 <br /> TENTATIVE*APPOINTMENT DATE: <br /> Tlma: /�' ,� <br /> tFiaoso allow 10 bu inaso days from data of application submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST-fAt.OI�FEE("' QUEST PROCESSED IN 3 BUSINESS DAYS 3 9 0 <br /> C Ill l,(J' !V/ A DATE <br /> SIGNATURE OF APPLICANT 1 Oepartmsnt Use ONY <br /> UNIT <br /> FILE ADDRESS <br /> 1505 Navy Urive All.eem Smrktaa 95204 1 � Unit <br /> l <br /> 1. ariaal <br /> asset <br /> 1415 Wvt Arvdmn -St C <br /> z. ., �;h it 2 �, 1 <br /> 1G24 N9vyDmc C <br /> a. Swe1 -."� <br /> 1155 S.Swcktcm St G1 �'. E'`• 4" �l` '- ' <br /> ,. srmx Unit 3 <br /> 1811 Chnna Woy <br /> city r <br /> S SMeel ,11 I r r. ♦1 tr. <br /> I aa}Nmy Driva <br /> e. soe,l c f. F . Unit4 <br /> y. Steel 15755.Pcrohityl Avc. t: <br /> A. 9e.or 1240 N%vy Urivc , <br /> c 3 `i : ; ^,`T ❑ Unit 5 <br /> 1a awe, .�.;,'•j:.i T1 t .... <br /> a gimm 1214 W.WaahIV—Sr C �� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> (UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT +� SOLID WASTE FACILITY <br /> .�}1THER CLEANUP <br /> SITE( T) C3 FOOD FACILITY ❑ SOUO wASTE VEHICLE <br /> ,1 THER CLEANUP SITE(NON-LOP) 0 DOG KENNEL 0 DAIRY <br /> ,0 fHAZARDOUS W STE GENERATOR <br /> 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> .�Li HAZARDOUS WASTE GENERATOR 0 MOTEIJHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> l5 TIERED PERMITTED FACILITY 0 POOUSPA ❑ LAND USE APPLICATION SITES <br /> 0 TATTOO/BODY PIERCING 0 OTHER(PLEASE SPECIFY) <br /> 0 MEDICAL WASTE FACILITY <br /> 1, the up to tate box(es).ss tn the space At least one file type MUSTove. Select the be selected f Fax to(209)464-0138 orfiles from the list above bmall Cthe <br /> the approp <br /> addressindicated above. <br /> 2. EHp will not <br /> the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <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 be immediately available for review, A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will he reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 6. *TEN received afterr 3:00 pm wappointment dates must ill e confirmed with EHD staff. <br /> Applications <br /> 6. be processed the next business day. <br /> CONFIRMED APPOINTMENT DATL TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> el4o4euzoae <br /> p1y500e <br />