Laserfiche WebLink
DATE Rr=CEIVED EHD LOG NUMBER <br /> SAN .10AQUIN COUNTY �1, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION ` : /_71 <br /> APPLICANT:Tina Cheney BUSINESS/AGENCY: Neil O. Anderson &Associates <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP: Lodi, CA 95240 <br /> PHONE (1): 209-747-0640 PHONE (2):209-367-3701 FACSIMILE:209-333-8303 <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(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tina Cheney DATE October 8, 2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> K1. 19400 N.Highway 99 Acampo '��co-� <br /> 2. 19400 " N.Highway 99 Frontage Acampo <br /> .., �� 3❑ Unit 2 ) <br /> 3. 19501 N.Highway 99 Acampo i <br /> 4. El Unit 3 ' <br /> 5. <br /> 6. aqt4 � <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY X SOLID WASTE FACILITYNEHICLE. <br /> X OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE G1�- <br /> X UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY ON0.&0 <br /> XABOVEGROUND TANK F1 CHICKEN RANCH/DOG KENNEL E]WASTEWATER TREATMENT PLANT —V <br /> X HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> X TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: 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 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY; <br /> 0 V V S./YJCo)a�I C':�l()]n�' Y���� '��0 CC1/I� `' <br /> i �p` C�+U�37/�In�o-y7 )_;r► US7 >�il�ry r /9 'S/ fw�jcq <br /> IC -i - i3 vi< SLCJ i OYM fyl v`,��ti�r <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> FHn 4R_na 914112 <br />