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03/09/2005 11:31 20"`�9 NEIL ANDERSON r--N' 7 PAGE 01/0 <br /> EWD LOG NUM6E11 <br /> lJ U SAN JOAQUIN COUNTY <br /> MAN — �n05 ENMoNMENTAL HEALTH DEPAIEtTM ENT <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> ENVIRONMENT HEA(10)468-3420 Fax: (209)464-0138 Web:www.co.san-joaquin..ca.us/ehd <br /> 1510 <br /> PERMIT/SERVtCES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Chi Waer Neil O.Anderson&Assoc. <br /> APPLICANT: P BUSINESSIAGENCY: <br /> ADDRESS; 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: 209.367.3701 x19 FACSIMILE: 209.369.4228 <br /> TENTATIVE*APPOINTMENT DATE: <br /> Tlme: , <br /> (Pleaaa allow 10 bayinaea days from data of application submittal) <br /> CHECK BOX TO EXPEDITE REQ:xw= <br /> BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE 0 <br /> Oepartmant Use Only <br /> FILE ADDRESS UNIT <br /> 1. f9tmat <br /> 1595 Navy Uttvc 9V <br /> All ve in Stockton,95206 Unit 1 <br /> 2. Street 1415 West Atxlcnoo St ` <br /> 3, Stme1 1624 Navy Drivc CRY a Q-i Si J it 2 Atj <br /> 4. 5 1055 S.Stoekwn St• <br /> � ##Sn. <br /> 0 Street 1501 Charter Way G1 r Unit 3 <br /> e. street 1441 Navy Dtivc C h Ci <br /> T. Street IRIS 5.Ptrehing Ave. n t Unit 4 <br /> O, stmar 1240 Navy Dtivc COY <br /> s, suvat 1245(h.=Way C �,�!�!A Y1..� ❑ Unit 5 <br /> 10. atmot 1214 W.Washington Sr ^a 1'+ti <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �� <br /> .2 NDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT .I! SOLID WASTE FACILITY <br /> �fPTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID wasri=VEHICLE <br /> ,O,UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> .Ed HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHO will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. . <br /> 6, Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EKD 4642,M <br /> OWNS - <br />