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05/23/2012 11:02 20933*3 LODI DOWNSTAIRSO PAGE 01/01 <br /> "AFT ECEIT, ED SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 2 4 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone. (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney BUSINESS/AGENCY: Neil 0. Anderson &Assoc. <br /> ADDRESS: 902 Industrial Way CITY/STATEtzip: Lodi, CA 95249 <br /> PHONE(1); 209-747-0640 PHONE(2): FACSIMILE:_209-333-8303 <br /> TENTATNE"APPOINTMENT OATE: Time: <br /> (Please allow 10 business days from date of eppilcation submittal-'Tenfadvo only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT__-,-TiMES Che7ey _ DATE May 24, 2012 _ <br /> Electronic Information: Q List©Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name City _ Unl!1 <br /> 1• '1922 � Washington Street (/ Stockton <br /> 2- 2040 Washin ton Street Stockton El A2 <br /> 3. 2005_ Washington Street nI Stockton <br /> 4 2115 Washington Street 6 c ) Stockton <br /> 5 100 Ventura Ave 2 SdcS rce« unit <br /> _ Wr Stockton 9 <br /> 6. <br /> -7 CM✓ �2S i 2— .� nit4 <br /> 9• _ p-Onit s <br /> 10. <br /> rr enl4 <br /> Specific Date Range of Formation Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(wp) HOUSING ABATEMENT <br /> ®OTHER CLEANUP SITE(NON-LOP) ©Fool) ®SOLID WASTE FACILITYNEHICLE <br /> © <br /> ® ®WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL <br /> XQ HAZARDOUS WA$TF.GENERATOR ®DAIRY <br /> ❑CHICKEN RANCH [I]WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ®MOTELIHOTEL 0 PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ®TATTO9I13ODY PIERCING ❑POOLISPA ®LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ©COMPLAINT RECORDS Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM•S;OOPM(EXCLUDING HOLIDAYS) <br /> 1. LILLugg.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, Eax to(209)464-0138 or mall to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any END files exist, An appointment for review will be confirmed approximately ten 00) <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 END 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> eHe USE oNI,Y jjnn <br /> eHe nB06 V '� <br /> ;y 8111(1 <br />