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off W_ I[E t SAN JOAQUIN COIUSb 'IN ,0:Z E[06 'ti[ 'ADN"Dwii PaMBaRaa ENVIRONMENTAL HEALTH DEPARTMENT NOV 14 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) ,468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd "/J E iRONMENTAL HEALTH I PEPMMSERVICES PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Geno Olson BUSINESS/AGENCY: Neil 0. Anderson & Associates ADDRESS: 902 Industrial Way CITY/STATEIZIP:Lodi,CA 95240 PHONE (1): 209-628-1898 _ PHONE(2):209-367.37011 FACSIMILE,.209-333-8303 TENTATIVE*APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal-'Tontafive only-must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT �P '"' " DATE November 14,2013 Electronic Information: ❑ List❑ Map-Description: FILE ADDRESS EHD USE ONLY Street# Street Name - city _ Unit 1 V 1. 247 Commerce Sl _�j �� Lodi 2. 269 Commerce St F _ Lodi 0DIt, rJOCCF _ Unitt2 �Jai) 3. 283 Commerce Str Lodi _ �pei 'yDe"F�" 4. 1355 E.Lodi Ave Lod] tI rao ccfA. MMP _�, LI Unit 3 S. 270 Commerce St Lodi aDP� coC.Ip. 6. 248 Commerce St �1 Lodi Nom Unit4 7. 226 Commerce St j Lodi _ t°� �C f 8. 200 _ Commerce St ^_ Lodi H� MM •ns� ❑units 10. .. ... ��•„-• .�' dunite Specific Date Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES X UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY X SOLID WASTE FAC1ITYNEHICLE D1I� XOTHERCLEANUP SITE(NON-LOP) ❑HOUSINGABATEMENT E]WASTE TIRE X UNDERGROUND TANK(MONITORINGIREMOVAL) Ll FOOD FACILITY X DAIRY � r�, l i X ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT X HAZARDOUS WAsTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS X TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES ❑TATTOOIBODY PIERCING X COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the address indicated above._ Address ranges will not be accepted-far additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10). days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3• A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file Is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the a plicant. Future file reviews by the same applicant may require a$125 deposit prior to review. W.aox ARFF ,IiEHD ad I,t v' �I IIN I rrA ea ll c u i �,! , $$��,,�Y t r i i S I '4y�'t'&! It (u��1�p g� !' 0.;'I 1n "{ysYJ I ( u1I ."vt�6 °� ro ,r5 i:t 14 I�•tl� ;” .1 X, , r■�t§v�% a ,t h 11 r ] II 1 0fi F�^^t�!8 'hR t}�F I.iF �t�Y'rVVlli r i d iIr 19 4v i7¢ y rvvy iI 1111,1.Afe air 9�VM.JrI aI�1 ��IVlrar ..,"'� " f41 u9,,i t.•till Vr. .tifcila 7.ks�'° III ye^n^]rt ill)WW �V��I#�_,.IPt ih11 c'viW.l:{Nvl,hi(�G lrlPyv nt.'i r� l T(f � lr,e ti t 1pir¢�� a �'l4'+i�ti! �I + hl I '� '1 r r e r' .a r a I P y v� { c� 35 hila Id ' ni4. tl I!+ i 11'�} I ;wY� r. p • � 'udp¢1 vt� Julii'IV. t�3 a I^i,�.uel :� M 0. ds�4ll'1trN�^kms .�',-Iw 1ItT"Yn�,�i' «�s, r li'!" '..0.'III�, <�a _ rt it Lvl. I r1� tSk0.: Jyih 11�,a .J IIS L41"."i.3Yfi({h er5 q c .tip y Lu, v, +N •1 rl i r.?+ I y� y IR ! tl )� I Fw. � '.i�ildrto.C.' .S�►?F�1T, �V7nR.'� .eA'"IIP 'IIni�.l�..-- H..eS�rliflii�.{H,�r°1rw'�,,sn�a<d'.- �•yl i'):i'�� i613& ��IPyti.>�Ilr��l.,irl ':.u,!:1�":+tir4' li'��+uY I'1' � TR/Tn 7qH.4 CSATHICnIMnrt Tnn1 cncaccc�nv on•ter crnv ,rr rrr