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RSCS `E-0 17078773276 ANTON PAGE 01/01 <br /> DATE RECEIVED <br /> JUN 0 7 2011 SAN .10AQUIN COUNTY EHL)LOG NUMBER <br /> ENVIRONMENTAL. HEALTH DEPARTMENTjj� <br /> ENVIRONMENTAL HEA LTf 600 East Main St. Stockton, CA 95202-3029 �.� <br /> PERMIT/SERVICES elephone: (209)468-3420 Fax: (209)464-0138 Web. www.rjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kenneth .Anton BUSINESS/AGENCY: Anton Geological <br /> ADDRESS: P• 0. Box 370 CITY/STATE/ZIP: Elk, CA 95432 <br /> PHONE(1): (707) 877-3276 PHONE(2): 877-3278 <br /> TENTATIVE*APPOINTMENT DATE; FACSIMILE: <br /> (Ploase allow la business days from date of appllration rb of-*Tentative only-mush ba confirmed) <br /> Q CHECK BOX TO EXPEDITE REOUFST-X22 AS <O EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT " <br /> DATE June 7, 2011 <br /> Electronic Information: ❑List ❑ Map- Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name <br /> City <br /> 1. 6421 capital Avenue Lodi QC� , ❑Unit 1 <br /> kr NO 2. 6437 W. Ban ler Street Lodi r r <br /> 3. 14749 N. Thornton Road Lodi I Unite <br /> 4. <br /> 5. Unit 3 <br /> 7. Unit 4 <br /> 8. <br /> 9. Un- 3 <br /> L10. I <br /> Specific Date Range of Information Requested: From ❑Unit 8 <br /> ENMRONMENTAL HEALTH DEPARTMENT FILES to �� <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FAClLITYNE HICLE <br /> OTHER CLEANUP SITE(NON LOP) ❑FOOD FACILITY WASTE TIRE < ��„\�� <br /> D UNDERGROUND TANK(MONITORINGIREMOVAL);x ElI1 DOG KENNEL ❑DAIRY �( 1al\\ <br /> ®HAZARDOUS WASTE GENERATOf2 CHICKEN RANCH vvv � <br /> TIERED PERMITTED FACILITY C]MOTEUHOTEL ❑WASTEWATER TREATMENT PLANT <br /> Q TATTOO/BODY PIERCING ❑PUMPER TRUCK/YARD/CHEMfCAL TOILETS <br /> ❑POOL/SPA LAND USE APPLICATION SrrES <br /> ❑ MEDICAL WASTE FAGlLITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE:AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:000 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 indica ed above. Address <br /> ranges will not be accepted-for additional assistance with fife 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 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> 11 y. I I� 1 / r C. <br /> l 4,A c.OM ✓I c0 X00 ` <br /> S 7 i 3 y CprK'��i3u/lt <br /> 5 c�t�02763 �� ���3a���� HS �np�>�t— cooDa 1�( i5�nd 2 4W le <br /> 6 9-ll Plea= sc� w,1a.�a.t I t Iet{�Pr✓60M A y VVA (oN37 &1- <br /> Frru"e r�q�.rdin9 rw3 <br />