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R�/C8 LD 17078773276 ANTON PAGE 01/01 <br />DATE RECEIVED RUP45H <br />JUN 0 7 2011 SAN JOAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL. HEALTH DEPARTMENT <br />ENVIRONMENTAL HEA 600 600 East Main St. Stockton, CA 95202-3029 <br />PERMIT/SERVICES elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Kenneth ,Anton <br />ADDRESS: P. 0. Box 370 <br />PHONE(1): (707) 877-3276 PHONE (2): <br />TENTATIVE* APPOINTMENT DATE: <br />(Please allow 10 business days from data of al <br />© CHECK BOX TO EXPEDITE REQUEST - 2 A,' <br />SIGNATURE OF APPLICANT <br />Electronic Information <br />❑ List ❑ Map — Description: <br />BUSINESS/AGENCY: Anton GeologiCal <br />CITY/STATE/ZIP: Elk, CA 95432 <br />FACSIMILE: (707) 877-3278 <br />Time: <br />Only - must be confirmed) <br />T PROCESSED IN 3 BUSINESS DAYS <br />I DATE June 7, 2011 <br />10. <br />❑ Unit 8 <br />Specific Data Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES (�C9 <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACII,ITYNEHICLE 1 <br />MOTHER HER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY <br />© UNDERGROUND TANK ONITORING/REMOVAL WASTE TIRE <br />� )v� ❑DOG KENNEL ❑DAIRY <br />® HAZARDOUS WASTE GENERATOR' ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT �1 <br />TIERED PERMITTED FACILITY ❑ MOTELIHOTEL <br />Q TATTOOIBODY PIERCING ElPOOL/SPA El PUMPER TRUCK/ON SSr ES TOIL <br />ETS <br />❑ MEDICAL WASTE FACILITY Ll LAND USE APPLICATION TE <br />❑ 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 b checking the e <br />boxes . At least one file y g appropriate <br />rangeswillnot be accepted p for additional assistance with fila address138 es, contact the EHD. Applications received afterAddress <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 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 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 $122 deposit prior to review. <br />rii4[:i1 —�k.,) 4 <br />11 <br />aY Y° 6�ta i�I Ave �rn atrl tool 13 n <br />5 co (DO CocD�-7 ax-f"I'I W`7 14 ';'6 e. �►1p�n��cooDa r�fr )5 �� �-t,Uh�.� <br />6 9 -ll PIQa sc� +�a,,�a., I t lei i�ei✓�om ami vaA �u"e &WA#11 IoN37 <br />FILE ADDRESS <br />Street <br />Street Name <br />EHp USE ONLY <br />City <br />'AV, <br />6421 <br />Capital -nue T-0—di <br />unit <br />0C-� <br />Nb <br />2• <br />6`137 <br />W. Banner Street Lodi <br />t <br />14749 <br />0 <br />3, <br />N. Thornton Road Lodi <br />Unit <br />4. <br />I D <br />Unit <br />5, <br />3 (� <br />6. <br />, <br />7. <br />amw so a <br />Unit 4 <br />8. <br />g <br />unit s <br />10. <br />❑ Unit 8 <br />Specific Data Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES (�C9 <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACII,ITYNEHICLE 1 <br />MOTHER HER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY <br />© UNDERGROUND TANK ONITORING/REMOVAL WASTE TIRE <br />� )v� ❑DOG KENNEL ❑DAIRY <br />® HAZARDOUS WASTE GENERATOR' ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT �1 <br />TIERED PERMITTED FACILITY ❑ MOTELIHOTEL <br />Q TATTOOIBODY PIERCING ElPOOL/SPA El PUMPER TRUCK/ON SSr ES TOIL <br />ETS <br />❑ MEDICAL WASTE FACILITY Ll LAND USE APPLICATION TE <br />❑ 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 b checking the e <br />boxes . At least one file y g appropriate <br />rangeswillnot be accepted p for additional assistance with fila address138 es, contact the EHD. Applications received afterAddress <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 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 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 $122 deposit prior to review. <br />rii4[:i1 —�k.,) 4 <br />11 <br />aY Y° 6�ta i�I Ave �rn atrl tool 13 n <br />5 co (DO CocD�-7 ax-f"I'I W`7 14 ';'6 e. �►1p�n��cooDa r�fr )5 �� �-t,Uh�.� <br />6 9 -ll PIQa sc� +�a,,�a., I t lei i�ei✓�om ami vaA �u"e &WA#11 IoN37 <br />