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SEP-01-2009 12:01 From= To:12094640138 Pa9e:1"1 <br /> u - <br /> 14E <br /> EHD LOQ NUMBER j <br /> I V SAN �l'�A(�UIN COUNTY + <br /> ENVIRONMENTAL-HEALTH DEPARTMENT 11 <br /> r�. <br /> A, {�� 600 East Main St, Stockton, GA;9520273029 140 <br /> u 9 Telephone: (209) 468-3420 Fax: (209) 464-0138 tlllleh:www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTF1 <br /> PERMIT/SERVICES . PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; Nicole Cooksey BUSINI.:SSIAGENCY: Lackehouae Retail Group <br /> ADDRESS: 1840 San Miguel Dr,_Suite 206 CITYISTATUIP:- Walnut Creek, CA,-94586 <br /> PHONE (1): (249) 477-4499 - _- PHONER: FACSIMILE: 325 937-7227 <br /> TENTATIVE*APPOINTMENT DATE: 011 2/11 Time: 10 a M <br /> (p,1 hV6_,djQW i V r71LmucVIA utlyY Ir V,,,UpW Vj n1jVjj Uiiv[[e1Au[[1liiai• i ririvi rc v[i.x-!,.;�•z���vF+:+� '�`�"'-'��1u i_"�"`- �•`�" <br /> ❑CHECK nOX TO L-XPEDITE RE ST• i 5 F A H R CHECK ONLY)-REQUE3T PROCESSED IN 3 9USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE + l <br /> =Electronicformation: ❑ Llst❑Map--Description: <br /> FILE ADDRESS FHD u9E ONLY <br /> Street# StYcot Name City 4qn1t <br /> 1, 420 - W. Kettleman Ln L a d i <br /> 2. 880 E. Victor Rd - Lodi <br /> a - 16 <br /> urtlt 5 <br /> 10. ❑unit <br /> SpecITIC Data Range of Informetlon Requost4d: FrGM 2p0a to currant <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 01-10'usiNG ABATEMENT ❑SOLID WASTE FACILrryiVEHICLE <br /> ❑OTHER CLEANUP SITE(MON-LOP) [3 FOOD FACILITY F1 WASTE TIRE <br /> �UNDERGROUNo TANK(MONITORINcIREMOVAL) 0 DOG FENNEL ❑DAIRY <br /> HMRD0US'WAs'rr=GENERATOR CI CHICKEN RANCH ❑WASTEWATER Tar-ATMENT PLANT <br /> ❑TIERmPI:RMimr)FACILITY E]MOTELIHOTEL <br /> PUMPER TRUCKIYARI]lCHEMICALTOILETS <br /> ❑TATTOo1B00Y PIERCING ❑P00USPA ❑LANu USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ©COMPLAINT RECORDS ©OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTtO PERMIT RECOADS ARE AVAII AM F 'REVIEw: <br /> PhAMONDAY-RpIDAY B:Ob AM�S:OOPM(FxCI uIJING HOLIDAYS <br /> �— <br /> 1. List tip to ten add res in the spaoe above. Select the type(g)of files from t6i ilst above by checking the appropriate <br /> n flies a MUST be selected. O9 464.0138 it to the AddressAddress <br /> bpx es . At[east one( ) tYP <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHO. Applications recelved after <br /> 3:00 pm will be pracasaed the next business day. <br /> 2. The.EHO will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files will ba held for a maxirrtum.of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> II 3. A Fite that Is actively being worked on by EHD staff may not be Immedlately available for review. A new application may be <br />` submitted when the file Is available. <br /> 4. Any fila not returned:n the name 4andit'on A9 reieased'will be reerganixed by EHD stlaff at the expense of the applicant. <br /> I Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> ..,. INN!)vS,U MX - <br /> I <br /> I <br /> EHE)4"U a/tnt <br />