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DATE RECEIVEDC�, �? lL) f ) EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> qp��l ` 'k ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 ok 1868 East Hazelton Avenue, Stockton, CA - 32 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 WeIF jgoC.jA <br /> Y115 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tonya Scheftner BUSINESS/AGENCY: Neil O.Aners9 sso at <br /> ADDRESS: 902 Industrial Way CITYISTATE/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 10�M, IZ. 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 <br /> 2. 1235 W.Vine#20 <J Lodi Unit 2 <br /> 3. 1121 W.Vine#12 1.5 Lodi <br /> 4. 2407 W.Vine Lodi Unita I <br /> 5. 2415 W.Vine V01jdod— Lodi <br /> 6. 1108 Cardinal — Lodi dunit4 <br /> 7. 1109 Cardinal C� �' Lodi <br /> 8. 1110 Cardinal SJ Lodi p unit 6 <br /> 9. 800 S. Lower Sacramento —(� . Lodi l <br /> 10. 1001 York St. Lodi n dunit 6 <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 FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ® DAIRY <br /> ®ABOVEGROUNDTANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ann-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 /> 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 applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. -BOXED AREA-EHD USE ONLY <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 46-06 914112 <br />