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0 EHD LOG NUMBER <br />DATE RECEIVED SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT, . <br />` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvwvv.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <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 frodate of application submittal - Tentative only -must be confirmed) <br />m <br />F] CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT Tina Cheney <br />DATE September 25, 2013 <br />Electronic Information: ❑ List ❑ Map — Description: <br />EHD USE ONLY <br />FILE ADDRESS <br />Street # Street Name City ❑ Unit 1 _/ - <br />Z� <br />1. 1340 W. Charter Way � Stockton * <br />2. 1310 W. Charter Way " Stockton ❑ Unit 2 <br />3. 1323 W. Charter Way . Stockton <br />4. 1245 W. Charter Way Stockton . <p Unit 3 <br />5. 1145 W. Charter Way Stockton • y AiS l 1� <br />6. 1501 W. Charter Way �' 1Z- �(1, tockton 3 (c CA a El Unit a <br />7. 1819 S. Argonaut St Stockton , ��S o JL <br />8. 1777 S. Argonaut St Stockton ❑ Unit 5 <br />9. 1745 S. Argonaut St Stockton GM`s le 3 3 <br />❑ Unit 6 <br />10. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES X SOLID WASTE FACILITYNEHICLE <br />X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) E] MEDICAL WASTE FACILITY <br />X OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT F]WASTE TIRE <br />X UNDERGROUND TANK (MONITORING/REMOVAL) - ❑ FOOD FACILITY E] DAIRY_ <br />❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />X ABOVEGROUND TANKPUMPER TRUCKNARDICHEMICAL TOILETS <br />P <br />X HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ OTELIHOTEL ❑ <br />❑ OOLISPA F1 LAND USE APPLICATION SITES <br />X TIERED PERMITTED FACILITY SPECIFY <br />F]TATTOOIBODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE ) <br />VIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RE <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 1209 464-0138 or mail to the address indicated aboveive.- d afters <br />ranges will not be accepted - for additional assistance with file addresses, contact the END. ,App <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 />ot be immediately available for review. Anew application may be <br />3. A file that is actively being worked on by EHD staff may n <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 />❑ Records provided by Staff -PPR Complete. Staff Name:g,,,,,, <br />