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NUN JAN 0'1, Z008 07 :36 .A(`'i., PAGE 2 <br /> r�. '! � EHD LOG NUMBER <br /> DATE RECEIVED <br /> SAN JOAQULN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgoc nre <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina CheneyBUSINESSIAGENCy: Nell O.Anderson &Associates <br /> ADDRESS: <br /> PHONE(1): (209)367-3710'1 _PHONE(2): FACSIMILE:_=Q.)_3f3az4228 __ <br /> TENTATIVE'APPOINTMENT DATE: Jan 18, 2008 Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST $98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE January 7, 2008 <br /> Electronic Information: Ej List [j Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Until <br /> 1. 471 Industrial Ave. Ripon <br /> 2. 230 ✓JJ Industrial Ave. Ripon F', Aro c 13"t, ❑ Unit <br /> 3. 339 Industrial Ave. Ripon 1 <br /> 4. 320 ✓ S. Stockton Street Ripon <br /> 5. 411 S. Stockton Street Ripon C (°" \~ <br /> nit <br /> 6. 942 S. Stockton Street Ripon 3 s to N O G D 5 <br /> 7. 222 E. Fourth Street Ripon Y) tr ❑ Units <br /> 8. <br /> 9. ❑ units <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> X UNDERGROUND TANK(MONITORING/REMOVAL) DOG KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY MOTELIHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - 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—for additional.assistance with 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 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 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 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 ONLY <br /> EHD484)6 9/132006 wep <br />