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08/03/2014 12:00 209333836 LODI DOWNSTAIRS PAGE 02/02 <br /> DATE RECEIVED <br /> F_HD LOG NUMBER <br /> .� -� �-• �'� ��" '� SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 7�1d�S_(�� 1868 f=ast Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUS 7-446 1868 <br /> (2.09) 468-3420 Fax: (2.09) 464-0138 Web: vwtw.sjgov.org/ehd <br /> 1':.NVEROi�i ,El�!IF'+(;.,LHEAL!H <br /> -'o&AITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tia Scheftner BUSINESS/AGENCY: Neil O. Anderson &Associates _ <br /> ADDRESS: 902 Industrial Wav CITY/STATEIZIP: Lodi, CA 95240 <br /> PHONE (1): 209-367-3701 PHONE (2):209-747-1000 FACSIMILE:209-333-5794 <br /> TENTATi E'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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ _ DATE July 4,2014 <br /> Electronic Information: ❑ List Ea Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streot# _ Street Name CityUnit 1 <br /> 1. 392 E.Moffat Blvd. Manteca <br /> 2. 430 E.Moffat Blvd. Manteca UnitL ;,/ <br /> 3. 466 E.Moffat Blvd. Manteca �7 i CD' ti� LD(0 <br /> 4. 372 E.Moffat Blvd. Manteca <br /> El Unit 3 <br /> 5. 205 _ E.Wetmore Manteca _ U o L- ,tt t�7 F I ��/' c�/ <br /> 6_ 293 E.Wetmore Manteca G ©Unit 4 <br /> — " <br /> Wet _. P <br /> more a Manteca N�( ; 3 tA( <br /> 8. 800 Moffat Blvd. Manteca m4 /Nu c0<y <br /> _ _ ElUnitsil <br /> 9. 369 _E_Moffat _ Manteca <br /> 10. 346 E.Moffat Manteca �W' �j� Wunits <br /> Specific Date Range of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(NST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY <br /> SOLID WASTE FACILITYNENIC E <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOuSING ABATEMENT <br /> UNDERGROUND TANK(MONITORINGIREMOVAL ❑FOOD FACILITY ®WASTE TIRE �—j)�j r <br /> ®ASOVEGROUND TANK v� DAIRY �-��,(l l <br /> CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS4 ❑MOTEUHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS { <br /> ® TIERED PERMITTED FACILITY,-,<, ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) o 4 <br /> WELL AND SEPTIC PERMIT RECORDS ARE:AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM"5:00PM(EXCLUDING HOLIDAYS) M � �3 <br /> I. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate tt1J <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address indicated above. Address �M <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after _H <br /> 3:00 pm will be processed the next business day. At <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) —C <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. Anew application maybe L-n!2submitted when the file is available. N <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. c <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. a• A; <br /> :�;; 'F:/,. :I•:•'M1• .,�I," '")Jo M`:1" 4•r• i•il�'i'iu,, �.".} '_��l'•-'fxF.;••..:' ^1' 'J •• _ �"' ��. <br /> r <br /> F\ <br /> ' 33 <br /> Via <br /> n� <br /> ;� Rece-i ed� Tlme�iiAu 4. 2014, 1 4 } _61��� <br /> eun.a na. ,—Its• I' 0: 1...•t^.:; .r+•" ../ .h.. ..M` ( j.' .'. ;'i:.y,,.:. .' -.... <br /> el IT Cp 39y�Ot IO(o fV/ z i t,t efii,, r-f� <br />