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08/20/2014 16:37 2093338303 LODI DOWNSTAIRS PAGE 02/02
<br /> DATE RECEIVED EHD LOG NUMBER
<br /> ...�l I d 1 SAN .10AQUIN COUNTY
<br /> �`- ENVIRONMENTAL HEALTH DEPARTMENT
<br /> AUG 2 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone: (209) 468.3420 Fax: (209) 464--0138 Web. www.sigov.org/ehd
<br /> ENVIRONMENTAL HEA!+H PUBLIC RECORDS RELEASE APPLICATION
<br /> nr.oilAITISEPUICES
<br /> APPLICANT: Heather Shaddox BUSINESSIAGEPICY: Neil O. Anderson &Associates
<br /> ADDRESS: 902 Industrial Way CITY/STATEI,ZIP: Lodi,CA 95240
<br /> PHONE (1): 209-367-3701 PHONE (2):209-747-1000 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 SOX TO F_XPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE---August 21, 2014
<br /> -
<br /> Electronic Information: ❑ List❑ Map—Description:
<br /> FILE ADDRESS EHD USE ONLY
<br /> Street Street Name City E Unit 1
<br /> 1. 200 N. Beckman Road Lodi I L✓J
<br /> 2. 880 E Victor Road Lodi llUnit 2
<br /> 3. 845 E, Pine Street Lodi
<br /> 4. 900 y '�L E.Victor Road k r Lodi Unit 3
<br /> 5. 920 E.Victor Road Lodi
<br /> S. 873 E. Pine Street Lodi unsca
<br /> -- / r_
<br /> 7. 861 E. Pine Street Lodi
<br /> 8. 921 Er Pine Street Lodi ❑unit 5
<br /> 9. 930 E.Victor Road Lodi
<br /> 10. 940 E.Victor Road Lodi — dUnIt 6
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 MEDICAL WASTE FACILITY OSOLID WASTE FACILtTY/VEHiCLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE
<br /> 0 UNDERGROUND TANK(MONITORINGIREMOvAL) ❑FOOD FACILITY DAIRY
<br /> ®AgOVEGROUND TANK ❑CHICKEN RANCH/DOC KENNEL Z WASTEWATER TREATMENT PLANT
<br /> HAZARDOUS WASTEIHAZARDOUSMATERIALS ❑MOTELIHOTEI. ®PUMPER TRUCKIYARDICHEMICALToILETS
<br /> ® TIERED PERMITTED FACILITY 0 POOLISPA LAND USE APPLICATION SITE$
<br /> ❑TATT661BODY 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 tc addresses in the space above. Select the type(s)of files from the list above by checking the appropriate
<br /> box(es). At least ono file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated abovo. Address
<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.
<br /> 2. The EHD will notify the applicant if any EHD flies 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 activaly 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 th®oxponse of the ap lican#.
<br /> Future file reviews by the same applicant may require a$125 deposit prior to review, ao..S�: � -
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