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MON JAN 0'/, 2006 07:36 AM PAGE 2 <br />DATE RECEIVED i..r END 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:Industri_ a ,I Wav Lodi CA 95240 _ <br />PHONE (1): (209)367 -3701 --PHONE (2): <br />_aQ9)_aE9242a- <br />TENTATIVE" APPOINTMENT DATE: Jan 18, 2008 Tlme: <br />(Please allow 10 business days from date of application submittal-`Tentat/(e only -must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST $98.00 FEE (CASH OR CHECK ONLY) . REQUEST PROCESSED IN a BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE January 7, 2008 <br />Electronic Information: C) List 0 Map — Description: <br />From <br />FILE ADDRESS <br />EHD USE ONLY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Street R <br />Street Name Clty <br />❑ unit 1 <br />1. <br />471 <br />Industrial Ave. 41,,w 0 <br />X OTHERCLEANUPSmt(NON-LOP) <br />230 <br />339 <br />Industrial Ave. f ipon <br />Industrial Ave. _ti pon <br />`✓Tr 1(Z/ ❑ Unit 2 <br />0 Z U <br />if nit 3 <br />DOG KENNEL <br />320 <br />S. Stockton Street p� 'pE ipon <br />• HAZARDOUS WASTE GENERATOR <br />411 <br />S. Stockton Street 6aotuTiaPpon 4 <br />> <br />0 ; TT(Y d) .1H2 �enita <br />) A 7 <br />X TIERED PERMITTED FACILITY ✓ <br />942 <br />S. Stockton Street n 81� Ripo(�W QA <br />222 <br />E. Fourth Street f(o1 ; 4W(t) Ripon <br />/ <br />` ❑ Unit 5 <br />8. <br />MEDICAL WASTE FACILITY <br />W 0 O <br />V <br />9. <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW - MONDAY -FRIDAY <br />❑ units <br />10. <br />Specific Date Range of Information Requested: <br />From <br />to <br />2 I� <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />FILES <br />I q <br />X UNDERGROUND TANK (UST) CLEANUP SIM (LOP) <br />HOUSING ABATEMENT <br />SOLID WASTE FACILITYNEHICLE <br />X OTHERCLEANUPSmt(NON-LOP) <br />FOOD FACILITY <br />WASTE TIRE <br />` UD <br />X UNDERGROUND TANK (M ONITORINWREMOVAL)✓ <br />DOG KENNEL <br />DAIRY <br />• HAZARDOUS WASTE GENERATOR <br />CHICKEN RANCH <br />WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY ✓ <br />MOTEL/HOTEL <br />PUMPER TRUCK/YARDICHEM TOILETS <br />TATTOO/BoOY PIERCING <br />POOLISPA <br />LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY <br />OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW - MONDAY -FRIDAY <br />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 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 $95.00 deposit prior to review. <br />EHD USE ONLY <br />