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08/11/2014 10:09 209333830' LODI DOWNSTAIRS PAGE 01/02
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<br /> �■: DATE .4 EHD LOG NUMBER
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<br /> [E,F`\1� SAN JOAQUIN COUNTY I
<br /> I. ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 2011
<br /> AUG ' 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone, (209) 468-3420 Fax: (209)464-0138 Web: vA/vw.sjgov.org/ehd
<br /> SNVIRONMENT.LHEP nl H
<br /> PERNAIXIS-tPUBLIC RECORDS RELEASE APPLICATION
<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(CAST-I OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE August 12, 2014
<br /> Electronic information: ❑ List❑ Map—Description:
<br /> FILE ADDRESS EHD USE ONLY
<br /> Street 9 Street Name City
<br /> 1. 30707 S.Corral Hollow Road (4 V� Tracy
<br /> 2. 31130 S.Corral Hollow Road ` 1 ;Id: I'j iTr c Unit 2
<br /> 3. APN:25303015 Tracy
<br /> 4. 30909 f�c S. Tracy Blvd hr1 )�.:- ' ?,.z - �, Trac) 'En Unita
<br /> B. APN: 25303016 rI Tracy
<br /> 6. l ti=j APN: 25310016 -- Tracy
<br /> 7. `fes APN: 2.5310015- Trac
<br /> 8. APN: 25303014 _ Tracy ❑Unit 5
<br /> 9.
<br /> 10. � ptJ`nit B
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY NSOLIO WASTE FACILITYNEHICLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE
<br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY N DAIRY
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL, ®WASTEWATER TREATMENT PLANT
<br /> N HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL N PUMPERTRUCKNARDICHEMICALTOILETS
<br /> ® TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES
<br /> ❑TATTOOIBODY PIERCING N 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 address@s 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 berselected. Fax to(209)464-0138 or mail to the address indicated above. Address
<br /> ranges will not be accepted-for'additional asslstancd with file addresses,contact the EHD. Applications received after
<br /> 3:00 pm will be processed the next buslners 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 flies 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 applicant.
<br /> Futuro filo reviews by the same applicant may require a $125 deposit prior to review. rdIIZ�1A11D;tJSE dF1
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