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LODI DOWNSTAIRS PAGE 01/01 <br /> 04/21/2009 13:55 20933383' - - -- <br /> DATE RECLIVEU ry <br /> SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> EKED ENVIRONMENTAL WEALTH DEPARTMENT <br /> 600 East Maid Street, Stockton, CA 95202-3029 <br /> APR 2 2 x"009 Telephone; (209) 468-3420 Fax: (209)464-0138 Web: www,sjgov.o d <br /> Z?4?1 <br /> ENVIRONMENT HEATH PUBLIC RECORDS RELEASE APPLICATION <br /> PER APPLICANT; ina Cheno EIUSINESSIAGENCY: Neil Q• <br /> ADDRESS: 902 Industrial Wa Anderson 8t Assoc Inc. <br /> PHONE(t); 209-747-0640 cltyrstaterZlp <br /> PHONE(2); FACSIMILE: _209-L69, <br /> TENTATIVE*APPOINTMENT DATE: A CII 2 2009 8:00 AM <br /> (Please allow 70 business pays from dAte of application submittal•`Ten;ativo onI'rime-, <br /> y-lrustbeoonflrmed) • .'• .• <br /> CHECK BOX TO EXPEDITE REQUFST.$105 FEE(CASH OR C86CN ONLY)-REQUEs r PROCESSED IN 3 BUS <br /> INES'' <br /> SIGNATURE OF APPLICANT tirfil! <br /> T pri122, <br /> Elec nic Information: �]List M <br /> tro �. <br /> ❑ ap-Descrj;Ption; <br /> FILE ADDRESS <br /> _� street# _ _ Street Nome `— Ci EHp USE ONLY <br /> 1^ 100^ E, Lodi Ave <br /> 2• — - Lodi - 0 Unit 1 <br /> .122 _ _E, Lodi.Ave_ —` — <br /> E. Lodi Ave _Lodi__ _ ❑ Unit /U <br /> -4: 200_.-- — ..�. _ - -- — - — ..__ _ _Lodi .���- <br /> OA_ ve Lodi_ Unit 3 "\ <br /> $' 204 E. Lodi Ave <br /> 6. -- -,�_ LOdi _ <br /> 288 E. Lodi Ave _ Lodi Unit <br /> 7 301 E. Lodi Ave~ <br /> s• 3 <br /> Lodi <br /> 03_ S. Cherokee Lane —`— <br /> 9. _400 — �— L�Ounit s <br /> di 35a$ <br /> E. Lodi Ave _ Lodi io, 510 � E. Lo —'� — <br /> Lodi ye: Lodi <br /> Specific Date Range of Information RequeStad: From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 051 UNDERGROUND TANK(UST)CLEANUP SITZ (LOp) <br /> ❑OTHER CLEANUP SITE(NoN-LOP) HOUSING ASATF-MENT <br /> ft VNDeRGROUNO TANK MOMTORINWREMOVAL) FOOD FACILITY a SOLID WASTE FACILrrYIyEIpCLE <br /> a HAZARDOUS WASTE GENERATOR OG KENNEL ©WASTE TIRE <br /> TIERED PERMITTED FACILITY 4 CHICKEN RANCH b DAIRY <br /> b TATT0018ocY PIERCINp 13 MOTELINOTCL Q WASTEWATER TREATMENT PLANT <br /> ❑MEDICAL WASTE FACILITY 0 POOLISPA rl PUMPER TRUCKIYARDICHEM TOILETS <br /> I:7 OTHER(PLEASE SPECIFY) 0 LAND USE APPLICATION SITES <br /> WEI,L AND SEPTIC PERMIT RECORDS ARE AVAILASt E FOR RCVIEw . <br /> 1• <br /> List up to ten addresses in the s10 <br /> pace above. Select the t e s of files froom the oli t above by beaking the SATs. <br /> box(es). At least one file type MUST be selected. ax o y 09 46.4-0138 or <br /> ranges will not be accepted-for additional assistanc®with file addresses,��taC#the ES A nd Gated above r gddrogs <br /> 3:00 Pm will be processed the net business day. pplications received after <br /> 2. The Elie will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately tern(1p) <br /> days after rece)pt 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 RHO staff may not be Immediately available for review. A new applicatlon may be <br /> subm;tted"onithe file is available. <br /> 4• any file not returned I�the same condition as released w.01 be reorganized by pmv staff at the expense of the applicant. <br /> iFutuire file revtom;Iby�the same applicant tray require a ugs creposit prior to mviiww. <br /> EPM USE ONLY <br /> PUBLIC RECORDS RELEASE APP FORM <br />