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RE M t!`0 17078732276 ANTON <br /> DATE RECEIVED u 110/ � PAGE 01/01 <br /> JUN 0 7 2011 LJ <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAI. HEgLTHdNpARTMENT EHD LOG NUMBER <br /> ENVIRONMENTAL HEA LTY 600 East Main St. Stockton, CA 95202-3p2g o e � <br /> PERMIT/SERVICES eiephone: (209)468-3420 Fax: (209)464-0138 Web: 029 S1soY o g/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kenneth Anton <br /> ADDRESS: P. 0. Box 370 BUSINESS/AGENCY: Anton Geological <br /> PHONE(1): I 7 I0 ' 877-3278 CITY/STATE/Zip: Elk, CA 95432 <br /> TENTATIVE*APPOINTMENTPHONE(2): <br /> DATE: FACSIMILE: (707) 877-3276 <br /> (Please allow 1D business days from date of applicationu t Time: <br /> ®CHECK BOX TO EXPEDITE REOUFST-$� al-`Ta^faNve only-must be confirmed) <br /> SIGNATURE OF APPLICANT �/ 2 AS O EST PROCESSED IN 3 BUSINESS DAYS <br /> Electronic Information: DATE June 7, 2011 <br /> ❑List❑Map_Descrlptlon: <br /> FILE ADDRESS <br /> Street$ Street Name EHD USE ONLY <br /> 1. 6421Capital Avenue Lodi Lodi Unit 1 <br /> 2, 6437 W. Banner Street <br /> 3. 14749 Lodi <br /> N. Thornton Road Lodi . Unit2 <br /> Un113 <br /> 8. <br /> Unit 4 <br /> 8. <br /> g' Unit s <br /> 10. <br /> Specific Date Range of Information Requested: From 0 Unit B <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> © <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑WASTE TIRE <br /> ®HAZARDOUS WASTE GENERATOR ❑C ❑DAIRY <br /> CHICKEN RANCH <br /> El TIERED PERMITTED FACILITY ❑WASTEWATER TREATMENT PLANT <br /> ❑MOTEUHOTEL <br /> ❑TAT'fOW60DY PIERCING ❑POOUSPA ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ElMEDICAL WASTE FACILITY LlOTHER(PLEASE SPECIFY) ❑LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B:00 AM-5:00pM EXCLUDING HOLIDAYS) ` <br /> 1. 03t uo to ten addresses In the space above. Select the type(s)of files from the list above b checkingthe e <br /> box(es). At least one Ole type MUST be selected. 0 2 X64-0138 or mall t0 the addresgin�i above, Address <br /> ranges will not be accepted-for additional assistance with fife addresses,contact the EHD. Applications received afters <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 some aPPllcent may mqulre a.$122 deposit prior to review. <br /> EHD USE ONLY <br /> L <br /> END J�W <br /> 0]09110 <br />