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MON JAN 01, 2008 07:36 AM PAGE 2 <br /> DATE RECEIVED .ice EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton,CA 95202-30290q <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.orOP <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney _BUSINESS/AGENCY: Nell 0.Anderson &Associates <br /> ADDRESS: 902 Industrial Way Lodi CA 95240 <br /> PHONE(1): 2,i 09)367-3701_ PHONE(2): FACSIMILE: (209) 369228 <br /> TENTATIVE`APPOINTMENT DATE: Jan 18, 2008 Tlme: <br /> (Please allow 10 business days from date of application submittal-•Tentat(ve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST $98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE January 7, 2008 <br /> Electronic Information: ®List Ll Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 471 Industrial Ave. "Di <br /> ) <br /> 230 Industrial Ave. 'pqf ipon 5Yf 07-) ❑ Unit z <br /> 339 Industrial Ave. _� pon O2� U / <br /> �w 320 S. Stockton Street o ) 0 ipon Unit 3 J <br /> 411 S. Stockton Street pG o ,(A'r ipon / \ <br /> 7 nit4 <br /> I )I 942 S. Stockton Street 14Ww 1) Ripon (dW o():►4(ytol)a14y)A6(p <br /> ' <br /> 222 E. Fourth Street usn-04 *w 1 Ripon 7 <br /> r �� Z <br /> S o 1) ❑ Unit 5 <br /> 9. <br /> ❑ Unit6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 1 4 h <br /> X UNDERGROUND TANK((UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE <br /> X OTHER CLEANUP SITE NON-LOP) FOOD FACILITY WASTE TIRE [ 0 <br /> X UNDERGROUND TANK(MONUORINWREMOVAL)✓ Doe KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY✓ MOTEL/HOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BoOY PIERCING POOLISPA LAND USE APPLICATION SUES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 9:00 AM-5:00PM - ExCLUDmG 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$95.00 deposit priorto review. <br /> EHD USE ONLY <br /> E!1040-06 4132006 weE <br />