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DATE RECEIVED ' • • EHD LOG NUMBER <br /> SAN JoAQt7uv COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 L. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: wwwsjgo .o e <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney BUSINESSIAGENCyt Nell 0. Anderson &Associates <br /> ADDRESS: 902 Industrial Way, Lodi, CA 95240 9 <br /> PHONE(1): (209)367.3701 PHONE(2): FACSIMILE:(209)369-4228 <br /> TENTATIVE'APPOINTMENT DATE: August S, 2007 Tlme. 9 am <br /> (Ploaso allow 10 business days from date of application submittal•'Tentative only.must be confirmed) <br /> p✓ CHECK BOX TO EXPEDITE REQ U $95.06 FEE(CASIji OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE August 3, 2007 <br /> Electronic Information: ©List© Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street ti Street Nam CI -� ❑ Unit 1 <br /> 1. 10660 S. Harlan Rd French Camp <br /> 2. 10634 S. Harlan Rd French Camp ❑ unit <br /> 3. 10700 S. Harlan Rd French Camp <br /> 4. 10720 S. Harlan Rd French Camp <br /> 5. 755 E. Roth Rd Lathrop <br /> 6. 707 E. Roth Rd Lathrop unh4,' \� <br /> 7. 9504 Harlan Rd )French Camp p units <br /> 8, 700 E. Roth Rd Lathrop <br /> 9. <br /> ❑ Unit6 <br /> 10, <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMEATAL HEALTH DEPARTMENT FILES <br /> P.I UNDERGROUND TANK(UST)CLEANUP SITE(LOP)v> F}C�,,HOUSING AMATENENT 13 SOLID WASTE FACIUTYlVEHICLE <br /> OTHER CLEANUP Site(NON-LOP) n FOOD FACILITY 13 WASTE TIRE <br /> f4 UNDERGROUND TANK(MONITORINGIREMOVAL) E3 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> A TIERED PERMITTED FACILITY 13 MOTEL/HOTEL E3 PUMPER TRUCK/YARDICHEM TOILETS <br /> C.t TATTOOIBODY PIERCING El POOLISPA 0 LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW • MONDAY^FRIDAY 6:06 AM-6:00M - EXCLUDING HOLIDAYS. <br /> 1, List up to ten addresses in the space above, Select the type(&)of files from the list above by checking the appropriate <br /> box(es), At least one file type MUST be selected. Fax to(20911464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted—far additional assistance with flip 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 flies 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 he Immediately avallabie for review, A new application may 40 <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 the applicant <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> El10e0a0&Iar2oa0..<e <br />