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MUN JAN 01, 20013 07:36 AM PAGE 2 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />Fun I nr NI IMRFp <br />ENVIRONMENTAL HEAL'T'H DEPARTMENT <br />600 E. Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 rax: (209) 464-0138 Web: www.sjgov.ol. <br />E oy <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Tina Cheney----- -- ---- --- _ BUSINESS/AGENCY: Neil 0. Anderson & Associates <br />ADDRESS: -g U-Ild11S&iaT-�8tay--LQ j—C.Ll5Z4Q---- ------------------------------- <br />PHONE (1): _L2O9) 367-3701 —_----_— PHONE (2): ---_---_----__---FACSIMILE: �209)369-4228 <br />TENTATIVE" APPOINTMENT DATE: Jan 18, 2008 Time: <br />(Please allow 10 business days from date of application submittal -`Tentative only -must be confirmed) <br />F1 CHECK BOX TO EXPEDITE REQUEST $98.00 FEE (CASH OR CHECK ONLY) <br />SIGNATURE OF APPLICANT <br />REQUEST PROCESSED IN 3 BUSINESS DAYS <br />DATE January 7, 2008 <br />Electronic Information: Q List [j Map - Description: <br />HOUSING ABATEMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />FOOD FACILITY <br />Street # <br />471 <br />230 <br />339 <br />320 <br />411 <br />_ <br />Street Name City t <br />Industrial Ave. 0 ) <br />Industrial Ave. ,ref j - ipon <br />Industrial Ave. pon 7, <br />S. Stockton Streety��,OC,Spon j <br />S. Stockton Street p� -4.0 ipon Gji <br />�-mt4 <br />❑ Unit 1 <br />1. <br />5 tIZ� Elunit 2 <br />CO Z U <br />Unit 3 <br />of) : ►AC�1° > AH 2-) A 00 <br />X TIERED PERMITTED FACILITY <br />942 <br />222 <br />S. Stockton Street �� (0 1) Ripon j4W <br />E. Fourth Street$ 02 '.4Wt Ripon -3 -f <br />Z ❑ Unit 5 <br />9. <br />❑ Unit 6 <br />10. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />HOUSING ABATEMENT <br />SOLID WASTE FACILITY/VEHICLE <br />X OTHER CLEANUP SITE (NON -LOP) <br />FOOD FACILITY <br />WASTE TIRE <br />X UNDERGROUND TANK (MONITORING/REMOVAL) <br />DOG KENNEL <br />DAIRY <br />X HAZARDOUS WASTE GENERATOR <br />CHICKEN RANCH <br />WASTEWATER TREATMENT PLANT <br />X TIERED PERMITTED FACILITY <br />MOTEL/HOTEL <br />PUMPER TRUCK/YARD/CHEM TOILETS <br />TATTOO/BODY PIERCING <br />POOL/SPA <br />LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY <br />OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY <br />8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br />Iq �4 I i 3 l (t�' <br />gym/ <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 />EHD 48-06 9/1312006 web <br />