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04/21/2009 13:56 2093336 <br /> OgTC RECEIVED LODI DOWNSTAIRS PAIGE 01/01 <br /> `r <br /> RECE E[u,, SAN JOAQUIN COUNTY EFID LOG NUMBER <br /> (SL ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 2 220)05 TelephMain Street, Stockton, CA 95202-3029 <br /> one; (209)468600 -3420 Fax: (209)464 0 38 Web; www,sjgov.0 dZ?4?/ <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEAS <br /> E APPLICATION <br /> PER APPLICANT: ina Chene _ <br /> ADDRESS: 902 Industrial Wa BUSINESSIACENCY: Neil 0. Anderson & Assoc Inc. <br /> PHONE(1): 209-747-0640clty/stata/zip dl, rA gS74n <br /> PHONE(;!): FACSIMILE: _2U J28 ,- , •• .• .• . <br /> TENTATIVE*APPOINTMENT DATE:Aril 2], 201)g ++ , <br /> ��.fr <br /> (Please allow 10 business days From date of apPlicatlon submittal-'TentaAvD only-must bee nryrmed)` <br /> xY CHECK BOX TO EXPEDITE REQU�ES/T,.$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IDAYS, <br /> •' <br /> SIGNATURE OF APPLICANTN 3 BUSINESS DAYS—FJ1M�lNUNJI <br /> Da pdi 22, 2009 <br /> Electronic Information: <br /> ❑List[] Map—Description: <br /> FILE ADDRESS <br /> street R Street Name City <br /> 1' EHUSE S_ SE pNLy <br /> . 100 E.Lodi Ave = — <br /> Lodl U dice 3 <br /> 3. 125 odi Ave ____ Sn ❑ unite <br /> 2. 122 — E. Lodi Ave <br /> E_L _. —._ Lodio L yij <br /> -- Lodi �"16I2unit <br /> a 200 osliAv�-- - — — Y NDfcySP \ <br /> 5. 204 E. Lodi Ave Lodi Unita \� <br /> 6. —�—�. Lodi <br /> '289 E. Lodi Ave _ _ Lodi uw?(5P umta <br /> T• 301 E. Lodi Ave <br /> 6 Lodi � <br /> 303— S, Cherokee Lane Lodi _ d ? n es,NectS/yl° Units <br /> 9. 400 E. Lodi Ave --` <br /> 10, Lodi <br /> 510 E. Lodi ve Lodi cc ❑ Unit <br /> Specific Date Range of Information Requested:From Ny <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES /J <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) W HOUSING ABATEMENT )QY S�/ <br /> OTHER CLEANUP SITE(NON-LOP) ❑SOLID WASTE FACIUTY/VEMCLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL O FOOD FACILITY M WASTE TIRE <br /> HA2A 0005 WASTE GENERATOR )� O DOG KENNEL IJ DAIRY <br /> 17 TIERED PERMITTED FACILITY ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TATTOOIQOOY PIERCING MOTEIAfOTCL 13 PUMPER TRUCWYARD/CHEM TOILETS <br /> MEDICAL WASTE FACILITY POOLISPA L'1 LAND USE APPLICATION SUES <br /> OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW . MONDAY-FRIDAY 8:00 AM.5:0OPM - EXCLUMNO 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. ax o 09 464-0138 or ail o the address end care above. Address <br /> ranges will not be accepted—for additional assistance with filo addresses,contact the EHD. Applications receWed after <br /> 3:00 pm will be processed the nDM business day. <br /> The EHD <br /> ill <br /> the <br /> If <br /> END <br /> les exist. An <br /> 2 daysftervreceipt of application. The f les will be held for a appointment <br /> Of five business I be days for rereview,Appo Appoten intments <br /> (10) <br /> should be scheduled accordingly. <br /> 3. A file that IS aCtIvely being worked on by RHO staff may not be Immediately available for review. A new application may be <br /> submitted whenthe file is available. <br /> 4. Any file not returned 1h the same condition as released w91 be reorganized by EHA staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a,S19S deposit prior to rexiew. <br /> EH@ USE 014LY <br /> PUBLIC RECORDS RELEASE APP FORM <br />