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/ EVPD17878773276 ANTON PAGE 81/81 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY RL06H Ewe Loi NUMBER <br />JUN 0 7 2011 ENVIRONMENTAL. HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTY 600 East Main St. Stockton, CA 95202-3029 <br />PERMIT/SERVICES �iepFtone: (209) 408-3420 Fax: (209) 464-0138 Wpb: www.sjgov.or/ehd <br />PUBLIC RECORDS RELEASEAPPLICATION <br />APPLICANT: Kenneth ,Anton BUSINESS/AGENCY: Anton Geological <br />ADDRESS: 0. Box 370 C[TY/SPATE/ZpP: Elk, CA 95432 <br />PHONE (1): (707) 877-3278 <br />TENTATIVE* APPOINT PHONE (2): FACSIMILE: (707) 877-3278 <br />MENT DATE: <br />(Please allow 10 business days from data of application r of-* <br />Q CHECK BOX TO EXPEDITE REQUEST - $122 AS t O <br />SI(3NATURE OF APPLICANT <br />Electronic Information: ❑ List - <br />Map— Description: <br />Time: <br />Only - must be confirmed) <br />T PROCESSED 1N 3 BUSINESS DAYS <br />DATE June 7, 2011 <br />Unit 3 <br />10. I . , LLL Lj <br />D Unit 8 <br />specific Date Range of information Requested: From to <br />tti�tt ENVIRONMENTAL HEALTH DEPARTMENT FILES� <br />El UNDERGROUND TANK (UST) CLEANUP SITE (LOP) El HOUSING ABATEMENT ® SOLID WASTE FACIUTYNEHICLE _j'013 <br />n OTHER CLEANUP SITE (NON -LOP) El FOOD FACILITY ❑ WASTE TIRE <br />R UNDERGROUND TANK (MONITORING/REMOVAL)Je ❑ DOG KENNEL ❑ DAIRY Q( <br />® HAZARDOUS WASTE GENERATOR L] CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY ❑ MOTEUHOTEL <br />❑ TATTOO/BODY PIERCING El PUMPER TRUCKNARD/CHEMICAL TOILET <br />❑ POOL/SPA El LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM -5.00m EXCLUDING HOLIDAYS 5 <br />1. List ug 10 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. Fgg to 2 , �4�4-0131 or mall to the address indica ®d above. Address <br />ranges will not be accepted - for additional asslstance 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 />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 appllcant. <br />Future file reviews by the some applicant may require a. $122 deposit prior to review. <br />�®ffw <br />MvaMW <br />will <br />- �. ,.: ►1r1 r � � � , i � ' -�. � ---_�-���T ��■-.ia�r�isiirry�trd�h�7/l�L\riiLL�l.�%��+��ir <br />FILE ADDRESS <br />TMD <br />Street N <br />Street Name City <br />ONLY <br />L1. <br />6421 <br />Capital A%renue Lodi <br />Unit, <br />6l" QC �� <br />0 <br />2. <br />6.437 <br />W. Banner Street nodi <br />i / r <br />3, <br />24749 <br />N. Thornton Road <br />Unite <br />4. <br />5, <br />Unit 3 (� <br />ti. <br />l <br />7. <br />Unit 4 <br />8. <br />Unit 3 <br />10. I . , LLL Lj <br />D Unit 8 <br />specific Date Range of information Requested: From to <br />tti�tt ENVIRONMENTAL HEALTH DEPARTMENT FILES� <br />El UNDERGROUND TANK (UST) CLEANUP SITE (LOP) El HOUSING ABATEMENT ® SOLID WASTE FACIUTYNEHICLE _j'013 <br />n OTHER CLEANUP SITE (NON -LOP) El FOOD FACILITY ❑ WASTE TIRE <br />R UNDERGROUND TANK (MONITORING/REMOVAL)Je ❑ DOG KENNEL ❑ DAIRY Q( <br />® HAZARDOUS WASTE GENERATOR L] CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY ❑ MOTEUHOTEL <br />❑ TATTOO/BODY PIERCING El PUMPER TRUCKNARD/CHEMICAL TOILET <br />❑ POOL/SPA El LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM -5.00m EXCLUDING HOLIDAYS 5 <br />1. List ug 10 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. Fgg to 2 , �4�4-0131 or mall to the address indica ®d above. Address <br />ranges will not be accepted - for additional asslstance 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 />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 appllcant. <br />Future file reviews by the some applicant may require a. $122 deposit prior to review. <br />�®ffw <br />MvaMW <br />will <br />- �. ,.: ►1r1 r � � � , i � ' -�. � ---_�-���T ��■-.ia�r�isiirry�trd�h�7/l�L\riiLL�l.�%��+��ir <br />