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08/03/2014 12:00 209333830. LODI DOWNSTAIRS PAGE 02/02 <br /> DATE RECEIVED y EHD LOG NUMBER <br /> SAN .10AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG �' 2Qrelephone: (209) 468-3420 Fax: (209) 464-0138 Web: vwrw,sjgov.org/ehd <br /> %,4jp,OtdY,EWALHEALTH <br /> �a n4ajsFyj%cES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tonya Scheftner BUSINESS/AGENCY: Neil O. Anderson & Associates <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP: Lodi, CA 95240 - <br /> PHONE (1): 209-367-3701 PHONE (2).209-747-1000 FACSIMILE:209-333-5794 <br /> TENTA7IVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must bo confirmed) <br /> ❑ CHECK BOX TO EXPEDITE-REQUEST-$12.5 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE i u ly 4, 2014 <br /> Electronic Information: ❑ List 11 Map Description: <br /> i <br /> FILE ADDRESS EHD USE ONLY f <br /> Street# _ Street Name Clty /7 Unit 1 <br /> 1. 392 E.Moffat Blvd. Manteca rj i <br /> 2. 430 E.Moffat Blvd. �- _Manteca Unit 2 Yr <br /> 3. 466 EMoffat Blvd. Manteca �J i�z�)M-DtD(S �Z <br /> 4. 372 E. Moffat Blvd. Manteca 0 Lo(!5i <br /> El Unit 3 <br /> 5. 205 _ E.Wetmore _ _ Manteca U 'f o ,tt ' f/ <A.l <br /> 5• 293 E.Wetmore Manteca P G Knit 4 <br /> _7. 301 E,Wetmore Manteca <br /> 8. 800 —_Moffat Blvd. Manteca <br /> _ ❑Unit 5 <br /> S. 369 E.Moffat _ - Manteca <br /> 10, 346 E.Moffat Manteca GWunit 6 <br /> Specific Date Range of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(NST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FAC ILrrY �� <br /> SOLID WASTE FACILITYJVEHIC E <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ''^^ Ai I <br /> UNDERGROUND TANK MON ITORINGIREMOVAL ®WASTE TIRE j){�rj r W! <br /> ( , ) FOOD FACILITY � DAIRY <br /> ®ABOVEGROUND TANK,14 ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALSA ❑MOTELIHOTEL <br /> ® TIERED PERMITTED FACILITY �PUMPERTRUCKIYARDICHEMICALT01LET5 <br /> TATTOO/BODY PERMITTED <br /> PIERCING r❑� POOLISPA ®LAND USE APPLICATION SITES <br /> ISI COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) ` <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) fn 40 <br /> 1. List uo to ten addresses in the space above. Select the M Zr F <br /> p type(s)of files from the list above by checking the appropriate If1J� `v <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 /> M <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. d <br /> 2. The EHD will notify the applicant If any EHD files exist An appointment for review will be confirmed approximately ten(10) S <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 boing worked on by EHI3 staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. n <br /> 4. Any file not returned in the same condition as released will be reorganized b EHD staff at the expense of the applicant. c�N <br /> Y p <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. IWFbTq'I <br /> Fnv..�.'.i}..' � 'j.", I µfl :::1''• J, ,'Fti.. <br /> ., a— _ - <br /> ceived Tlme o, <br /> N <br /> iAu � ��: �.,;�� �- x,' 4• :.f yQ <br /> -.- �, ff <br /> '" <br /> "` :� `�' •� ...... 1`� <br /> 39q3qq 1 D(0) fol x tw,E't h� r g <br />