Laserfiche WebLink
03/09/2005 11:31 2093694 NEIL ANDERSON ENV PAGE 01/0 <br /> mo <br /> D JCOUNTX EHD LOG NUMBER <br /> "EMWESAN OAQUIN <br /> E ®Nm EN�'AL HEALTH DEPARTMENT <br /> AWP <br /> iA3� _ ��05 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> ENVIRONMENT HEA(IN)4683420 Fax: (209)464-01.38 Web:www.co.san-joaquin.ca.us/ehd <br /> PERMIT/SERVtCES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Chip Walker BUSiNESSIAGENCY: Neil 0.Anderson&Assoc. <br /> APPLICANT: <br /> ADDR>;Ss_ 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.3673701 x19 FAGSIMiLE: 209.369.4228 <br /> q <br /> TENTATIVE*APPOINTMENT DATE: 57 TIm4: <br /> (please allow 70 btmineas days from date of application subMIttal) <br /> ® CHECK BOX TO EXPEDITE REQUEST- .OQFEE( QUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE d <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> t. <br /> All tte in Stockton,95206 ry unit'I <br /> 8+�, 1505 Navy Ucivc LJ <br /> H UJ 2. sm, 1415 Wm ArAla mon- \ <br /> 1624 Ngvy DrivcIrpIRWN 11'a it 2 A\,/A <br /> �► ¢#vJ 4 6.ttact 1055 S.Sttxkwn St. <br /> `y 14v�us treat 150,ct,a:rcr Way a Unit 3 <br /> ty}V� s. street 14a3NacryDrive Cis . G <br /> rJ� T. sweet 1 R15 S.Per9M*Avc. Unit 4 <br /> H W�s Q. $"at 1240 Nstvy Mivc <br /> H e s „ Iz4s c Itartcr Way CIN Unit 5 <br /> gtmm 1214 W.Washington StG <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 40 <br /> ./�JNDERGROUND TANK(UST)CLEANUP SITE(LOP) ® HOUSING ABATEMENT •C:1 S01JD WASTE FACILITY <br /> ,I�(ffTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOI-ID WASTE VEHICLE <br /> , L—ENDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> AS HAZARDOUS WASTE GENERATOR C) CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTELJHOTEL ❑ PUMPFR TRUCK/YARDICHEM TOILETS <br /> ® TATTOOiSODY PIERCING ❑ POOLiSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to jg2jLjg4:qM or mall to the <br /> address Indicated above. <br /> 2. EHD Will notify the applicant tf any EHD files exist. An appointment for review will be Confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review, A new <br /> application may be 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 <br /> of the applicant, Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW(DATE <br /> END 4BA2M <br /> A/Efx06' <br />