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DATE RECEIVED � � t+II) EHD LOG NUMBER <br /> ' SAN JOAQUIN COUNTY <br /> ry-ev\-L ENVIRONMENTAL HEALTH DEPARTMENT <br /> !� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehdig <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tonya Scheftner BUSINESS/AGENCY: Neil O.An rni4smi.t s <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP: Lodi, CA 95240 <br /> PHONE (1): 209-367-3701 PHONE(2):209-770-0731 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ® CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT !102=1 k. DATE September 24, 2014 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 1200 W.Vine#12 Lodi 1 -�J'0 LSI <br /> 2. 1235 W.Vine#20 Lodi TP ,; unit 2 <br /> 3. 1121 W.Vine#12 N. Lodi &LD2 <br /> 4. 2407 W.Vine Lodi &nita <br /> 5. 2415 W.Vine Lodi itn ; U n� <G , y {� <br /> t.�*44 <br /> 6. 1108 Cardinal 6 LodiAl, (,U rj p '``[,'•Unit 4 <br /> 7. 1109 Cardinal �Lodl <br /> 8. 1110 Cardinal ❑ u s <br /> 9. 800 S. Lower Sacramento Lodi ��j }� � ( , �4� �1 �Y7 <br /> 10. 1001 York St. 401f Lodi N f[j�unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACIUTYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE �_ �)a, I LQ 6,-- <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL),J— ❑FOOD FACILITY ® DAIRY Uni i. -5. f'�, l-?5o_jq <br /> ®ABOVEGROUND TANKCk ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUSMATERIALSY- ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILWOp_ ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑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 /> st.ould 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$125 deposit prior to review. -BOXED AREA-EHD USE ONLY <br /> fd5 , V <br /> 62L415-, <br /> (AA 0jZ141 �� <br /> 2415 _0 .0 <br /> A,o ;J1 V Elto-'s, k r <br /> JC(t �. ¢ ) .3.5 vi,W-, <br /> EHD 48-06 914112 <br />