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DATE R=IVED <br /> E�E�VEDD � SAN JOAQUIN COUNTY `,! EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY' 3 12007 p (600 E. Main Street, Stockton, CA 95202-3029 <br /> Tele hone: 209 468-3420 Fax:'(209)464.0138 Web: ww.Sjgov,oENVRONMENT HEALTH wrgd <br /> pUBUG RECORDS RELEASE APPLICATION <br /> APPLICANT: Tenlara Woods <br /> ADDRESS: 902 Industrial Way. Lodi, CA 95240 EiUSiNEgSlAGENCY: Neil O.Andersen&Associates <br /> pHaNl=_(1). (209)367-3701 <br /> PHONE(x), FACSIMi[,E; 209 369-4228 <br /> TENTATIVE*APPOINTMENT DATE: June 14, 2007 <br /> (Please allow 10 business days from date of a ti Time; 9:00 am <br /> Pp cellon submktal. Tentative only.must be confirmed) <br /> ❑ CHECK SOX TO EXPEDITE REQUEST.$95.00 FEE(CASH OR CHECK ONLY).REQUEST PROCESSED iN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DAM May 31, 2007 <br /> Electronic Information: 0 Dist®Map---Description: <br /> pHon: <br /> FILE ADDRESS <br /> streets --- Street Nems EHD USE ONLY <br /> �- 4100 W. Riviera D Cies ---~ <br /> riv® ` ❑ ur <br /> Stockton <br /> n t <br /> z- 4109 �- - , <br /> W. liviera Drive Stockton' <br /> 3. 3800 W. Country Club Blvd. ❑ Unit Z <br /> 4. StOCktdn <br /> Unit 3 <br /> 7. <br /> 6. --- — \� <br /> 9. <br /> Unit 6 <br /> Spaciflc Date(Range of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERG1OUND'TANK(UST)CLRANUP SITE(LOP) D HOusINO AEATEMeNT Gj <br /> OTMR CE.EANUP S M(NON-LOP) ❑FooD FACILITY SOLID WASTE FACILITYIVENcLE <br /> ®UMDERGROWD TANK(MoNITORNWREMOVAL) Q DOG FActu O WASTE TIRE <br /> HAZARpO A WASTE GENERATOR 13 DOO K N NELRANA DAIRY <br /> TIMED PEMMO FACILITY Q CHIC HOTEL 17 WASTEWAT�TREATMENT PLANT <br /> 0 TATTOofBODy PWG ❑PO TWH D PUMPRR TRUCKlYARD1CHEM TOILETS <br /> i3 AkOiCAL WASTE FACIuTr U LAND Use APPLICATION SM <br /> 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEFMC PERMIT RE=CORDS ARM AVAILAmE FOR RRvtew- <br /> 1. L.Ist up to ten addresses in the space above. Select the MONDAY-FRIDAY 8:00 AM-S:QOPM - 1EXCLUOINo HOLIDAYS. <br /> box(es). At least one file type MUST be selected. Ea to $)Dailies from the list above by checking the appropriate <br /> ranges Will not be accepted0 38 or mai)to the address indlcaind above_ Address <br /> —for additional assistance wltn file addresses,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 appointment for review Will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximAppointmentsshould be scheduled accordingly. ve business days for review. Appointments <br /> 3. A file that is actively being worked on by EHD staff may not be <br /> submitted when the file Is available. Immediately available for review. A new apptlGation may be <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONI Y <br /> U 1r1008 wwh <br />