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08/11/2014 10:09 20933383 LODI DOWNSTAIRS PAGE . 01/02
<br /> DATE �\ so-Vltk EHD LOG NUMBER
<br /> � � V SAN JOAQUIN COUNTY
<br /> Ir ENVIRONMENTAL HEALTH DEPARTMENT
<br /> AUG
<br /> �� 2014 1868 East Hazelton Avenue Stockton CA 95205-6232
<br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd
<br /> St4V1RONME•NTRL C SGTH
<br /> PERNAMSC- PUBLIC RECORDS RELEASE APPLICA,TiOiF I I rfl n, y
<br /> APPLICANT:Tonya Scheftner BUSINESS/AGENCY: Neil O.Anderson&.Associates
<br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP:Lodi, CA 95240
<br /> PHONE (1): 209-367-3701 PHONE(2):209-747.1000 FACSIMILE:209-333-5794
<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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> 12
<br /> SIGNATURE OF APPLICANT C Z DATE August 12, 2014
<br /> Electronic-Information: ❑ List❑ Map--Description:
<br /> FILE ADDRESS END USE ONLY
<br /> Street a Street Name � / City Unit 1
<br /> 1. 30707 S.Corral Hollow Road I �'t( Tracy
<br /> 2. 31130 S.Corral Hollow Road r{i{ i j ,51fRc _ _ Unit 2
<br /> 3. r � APN:25303015 Tracy
<br /> 4. 30909 S.Tracy Blvd Trac Umt3
<br /> z �s
<br /> B. r�fir._APN: 25303016 Tracy
<br /> 6. j1 APN: 25310016 - Tracy
<br /> 7, Soo -.�l APN: 25310015- :" Trac
<br /> II fit-) 4i —
<br /> 8. iia'APN: 25303014 , 1 Tracy ; ❑Unit 5.
<br /> 9.
<br /> 10. f ad-nit 6
<br /> Specific Date Range of Information Requosted: From V to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> (UNDERGROUND TANi<(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE
<br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ® DAIRY
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DoG KENNEL WASTEWATER TREATMENT PLANT
<br /> HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEIJHOTEL Z PUMPER TRUCKNARDICHEMICALTOILETS
<br /> ® TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES
<br /> ❑TATTOOIBODY PIERCING 9 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-foeadditional assistaned with file addresses,contact the EHD. Applications received after.
<br /> 3:00 pm will be processed the next bufslness,day.
<br /> 2. The EHD will notify the applicant if any END 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 now 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 a lieant.
<br /> Future file reviews by the same applicant may require a$125 deposit prior to review. �f� ( •, k1A ,�D
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