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cE e2/e2 <br /> �_0420/2014 16:37 20933383 LODI DOWNSTAIRS O r--�P^ �NUMBER <br /> ��� <br /> DATE RECEIVT ,®® SAN JOAQUIN COUNTY I rI �]lU\C\Qu/G/ <br /> RE, <br /> ENVIRONMENTAL HEALTH DEPARTMENT u <br /> AUG 2 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTALHEP,L-CH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Heather Shaddox BUSINESSIAGENCY:Neil O. Anderson&Associates <br /> ADDRESS: 902 Industrial Way CITY/STATEIZIP: Lodi,CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2):209-747-1000 FACSIMILE:209-333-8303 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-must bo confirmed) <br /> S ❑CHECK BOX TO P_CPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> S <br /> \S S� <br /> 5(rg SIGNATURE OF APPLICANT DATE August 21, 2014 <br /> ctronic Information: ❑ List❑ Map—Description: <br /> FEHD USE ONLY <br /> FILE ADDRESS <br /> Street 0 Street Name City <br /> 1. 200 N. Beckman Road Lodi S <br /> _ <br /> 04K, <br /> 880 _ E.Victor Road Lodi M °Cp—jPj0WUnit 2 <br /> 3. 845 E. Pine Street Lodi ST MM H �5P - <br /> 4. 900 E.Victor Road jLod Np� Necc°,p t Unit��FJnr <br /> S. 920 E.Victor Road F7' 14 L�)-3 <br /> 8. 873 E. Pine Street Oft NbP�n+++� ocu��. _.. Unit4 <br /> 7. 861 E. Pine Street /J NnP8. 921 E.PineStreet N�%� NDS r 1er�SQ ❑Unit 5 <br /> 9. 930 E.Victor Road Lodi ST <br /> 10. 940 E.Victor Road Lodi ST( Aad Unit6 <br /> rhe of In u : From W61A — 5 ee e.A'IA4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 8 PA Ho gSjrJDre- <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE.FACILITY 0 A FAc&yNEHicLE <br /> ®OTHER CLEANUP SITE(NoN-LOP) ❑HOUSING A13ATEMENT ®WASTE TIRE )✓ y� �j <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY ® DAIRY hviy`-'CJ i <br /> ®ABOVEGROUNDTANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT , '?V- <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY Q POOLISPA ®LAND USE APPLICATION sTES <br /> TATTOOIBODY PIERCING ®CONPLAINT/RESPONSE RECORDS ❑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 by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall 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 flies exist. An appointment for review+nrill be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of rive 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. ,.�..+...-,.,. .§�r��.EYl <br /> NMI I <br /> B ... <br /> J <br /> CCI ft 137 64-'fj!r rpt IA 44 k1C W Pi t.- f t.�6"4 qol to > ti 9 tr✓rc#>r , <br />