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<br /> 08/11/2014 10:09 2093338303 LODI DOVINSTAIRS PAGE . 01/02
<br /> 1 DATE Fi - ENED
<br /> $AN JOAQUIN COUNTY EHDLOG NUMBER
<br /> R{{-,. ENVIRONMENTAL HEALTH DEPARTMENT
<br /> ASG 12 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone:e• (209) 468-3420 Fax: (209)464-0138 Web: vA1VW.sjgov.org/ehd
<br /> ENV(RONMENTAVSTH
<br /> PERMjTJSHICE
<br /> PUBLIC RECORDS RELEASE APPLICATION
<br /> APPLICANT: Tonya Scheftner BUSINESS/AGENCY: Neil O. Anderson&.Associates
<br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP:Lodi, CA 95240
<br /> PHONE.(1): 209-367-3701 PHONE(2): 209-747'-1000 FACSIMILE:209-333-5794
<br /> TENTAT/VE*APPOINTMENT DATE: r Time:
<br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed)
<br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CAST-I OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE August 12,2014
<br /> Electronic Information: ❑ List❑ Map—Description:
<br /> FILE ADDRESS END USE ONLY
<br /> Street a Street Name City
<br /> unit 1
<br /> 1. 30707 S.Corral Hollow Road Tracy GAJ
<br /> 2. 31130 S.Corral Hollow Road a331 Y4.3 3 t1 Xzrkr _ Unit 2
<br /> 3. (SF� APN:25303015_ Tracy ��I�k /
<br /> 4. 30909 S. Tracy Blvd 10 , Traci nit 3 I �
<br /> 6- APN: 25303016-7 Tracy
<br /> 6. APN: 25310016 - Tracy
<br /> C76
<br /> 7. I`I APN: 25310015- : Trac
<br /> 8. APN: 25303014 , ' Tracy ❑Unit 5_
<br /> 9.
<br /> 10. \'' nit 6
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FAciuTYNEHICLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE
<br /> 0 UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ® DAIRY
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT
<br /> HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELMOTEL PUMPER TRUCKNARDICHEMICAL TOILETS
<br /> ® TIERED PERMITTED FACILITY ❑POOL/SPA ®LAND USE APPLICATION SITES
<br /> ❑TATTOOIBODY PIERCING 0 COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING 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. Fax to(209)464-0138 or mail to the address indicated above. Address
<br /> ranges will not be accepted-foeadditional assistance with file addresses,contact the EHD. Applications received after
<br /> 3:00 pm will be processed the next bualneSs,day.
<br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10)
<br /> days after receipt of application. The files will be held for a maximum 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 immediately available for review. A now application may be
<br /> 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 of thea licant
<br /> Future file reviews by the same applicant may require a $125 deposit prior to review. 8 I �114�� '
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<br /> Received Time:"Au 12` 201412 05PIINo 6807- , ' : }
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