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mm JAN 0/ 2006 07:36 AM PAGE 2 <br /> DATE RECEIVED 'W.01 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 00> <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.or <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney _ BUSINESS/AGENCY: Nell 0.Anderson&Associates <br /> ADDRESS:AM Industrial Way I.Qdi CA_ 25240 _ <br /> PHONE(1):. 2�09j 367-3701 PHONE(2):--FACSIMILE:_=9)_3B9-422_$__ <br /> TENTATIVE"APPOINTMENT DATE: Jan 18, 2008 Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative 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: 0 List [I Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 6 Street Name City ❑ Unit 1 <br /> 1. 471 Industrial Ave. #W 0 ) <br /> 230 Industrial Ave. r ipon 5T,th-I ❑ Unit 2 <br /> A. 339 Industrial Ave. _V_1W on Z <br /> aw <br /> A. 320 S. Stockton Street ipon Unit 3 c <br /> olIe p <br /> fj 411 S.Stockton Street 0e D w'r ipon y <br /> Iyl'0� 942 S. Stockton Street p�, ol) Ripon (jW o/J;146•QaI)a1i2jhGt/ nn4 \\ <br /> 1 �L,222 E. Fourth Street 5(02 : Ifw t Ripon <br /> 8. Des OI` Z ❑ Units <br /> 9. <br /> ❑ Unit s <br /> 10. <br /> Specific Date Range of Information Requested: From to 2 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE � (��©o� <br /> X OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> X UNDERGROUND TANK(MONITORING/REMOVAL))/ DOG KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY✓ MOTEL/HOTEL PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING POOLISPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY 8:00 AM-5:OOPM - 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 maybe <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 prior to review. <br /> EHD USE ONLY <br /> EHD 4046 9/132006 web <br />