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05/23/2012 11:02 209333E <br />LODI DOWNSTAIRS PAGE 01/01 <br />DARECEIVED END LOG NUMBER <br />104 <br />1-91k <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />MAY 2 4 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone; (209) 468-3420 Fax: (209) 464-0138 Web: wvvw.aj9ov,org/end <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cheney <br />ADDRESS: 902 Industrial Way <br /> <br />BUSINESS/AGENCY: Neil 0. Anderson 81, Assoc. <br /> <br />CITY/STATE/ZIP: Lodi, CA 95249 <br /> <br />EHD USE ONLY <br /> <br /> Unit 1 <br /> lab-nit 2 <br />65 reeri j <br /> Unit 3 <br />(71-t <br />Cilt 4 <br />s <br />to <br />Electronic Information: U List El Map — Description: <br />FILE ADDRESS <br />Street-#• Street Name City <br /> 1922 Washington Street Ni Stockton <br />gle, <br />2. 2040 Washington Street 2110,0 ,?5, Stockton <br />3 2005 Washington 4.treet N Stockton <br /> 2115 <br />100 <br />Washington Street 2A1,0 0 Stockton <br />Stockton Ventura Ave <br /> <br />7 <br /> <br /> <br /> <br />PRONE (1): 209-747-0640 PHONE (2): <br />TENTATIVE* APPOINTMENT DATE: <br />0 CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS PAYS <br />SIGNATURE OF APPLICANT Tina Chey PATE May 24, 2012 <br />FACSIMILE: 209-333-8303 <br />Time: (Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) El HOUSING ABATEMENT <br />IrE OTHER CLEANUP SITE (NON-LOP) 0 FOOD FACILITY <br />1E UNDERGROUND TANK (MONITORING/REMOVAL) q DOG KENNEL E HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH g TIERED PERMITTED FACILITY E MOTEL/HOTEL <br />El TATTOO/BODY PIERCING D POOL/SPA E MEDICAL WASTE FACILITY <br />EJ SOLID WASTE FACILITY/VEHICLE <br />E WASTE TIRE <br />E DAIRY <br />WASTEWATER TREATMENT PLANT <br />El PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />lii LAND USE APPLICATION SITES E COMPLAINT RECORDS LI OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC; PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 800 AM-5:00PM (EXCLUDING HOLIDAYS) <br />I. 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 (2044644138 or mall 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 />The END will notify the applicant if any END tiles 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 />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 />41, Any file not returned In the same condition as released will be reorganized by END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $125 deposit prior to review. <br />PRO USE ONI,y <br />2HD 41;4;10 <br />WIPI1