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t30 1302:10p Nelson 20*2221 p.1 <br /> ���'V r-® EHD LOG NUMBER <br /> DATE RECEIV SAN .IOAQUIL3e <br /> R ENVIRONMENTAL HEAENT A <br /> � <br /> OCT 3 0 2013 1868 East Hazelton Ave95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) w.sjgov.org/ehd <br /> ENS EONMESERVI�LTH <br /> PUBLIC RECORDS RELATION <br /> APPLICANT: Mike Nelson B SINESS/AGENCY: Nelson Environmental <br /> ADDRESS: 103 Laurel Ave. CITYISTATEIZIP: Atwater, CA 95301 <br /> PHONE(1)- 209-769-7460 PHONE(2): FACSIMILE:775-254-3746 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application sl bmittai-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE T-$ 5 PEE iCA H R CHE ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF AIPPLICANT DATE D <br /> Electronic Information: []List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 Street Name ItY [I Unit <br /> 1. 3655 E. Cherokee Rd. Stoc ton )� <br /> 2. Geotrac er shows this address as a La d y unite <br /> F5. <br /> Disposa Site and show it as an pen ase buwith no ther information listed Jus ❑Unit3 <br /> wonderi g if you have any thing 'n yo r file <br /> about th s. Listed as Delta Truck Sales- // 7 /3 unit4 <br /> 8. E]Unit 5 <br /> .I�Pt / < <br /> 9. ? <br /> 1D r_ ll 6 �� �nit6 <br /> Specific Date Range of Information Requested: From <br /> to <br /> ENVIRONMENTAL HEALTH Di PARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOusiNG ABATEM NT ®SCUD WASTE FACILITYIVEHICLE <br /> [OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTETIRE <br /> ❑UNDERGROUNDTANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WAST GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITfEDFACIUr! ❑MOTELIHOTEL ❑PLWPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTODIBODY PIERCING ❑PDOLISPA [ LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTE FACILITY ❑COMPLAINTRECODS [:]OTHER(PLEASE SPECIFY) <br /> FOR <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE REVIEW: ONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> t 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 feast one file type MUST be selected. Fax to 209 4 0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file ad resses,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 appoi tment for review will be confirmed approximately ten(10) <br /> days after receipt of application- The files will be held for a maxi um 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 im ediately 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 reo ganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$125 dep sit prior to review. <br /> Received Tlme—Oct. H. 2013 2, 12PM No. 4441 elft <br />