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MUN JAN 07, 2008 07:36 AM PAUE 'Z <br /> DATE RECEIVEDEHD LOG NUMBER <br /> y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <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 BUSYNESS/AGENcY: Neil 0.Anderson &Associates <br /> ADDRESS: 9902 Industrial Way, Lodi CA 95240 <br /> PHONE(1):5.209j 367-37011 PHONE(2): _FACSIMI LE:_aQ9)_3Sz8_4_228 _ <br /> TENTATIVE'APPOINTMENT DATE: Jan 18, 2008 Time: <br /> (Please allow 10 business days from date of application submittal-'Tentat/ve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST $98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 7 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ,January 7, 2008 <br /> Electronic Information: ❑List Q Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street NameVii,.pon <br /> ❑ Unit 1 <br /> 1. 471 Industrial Ave. lj- <br /> 230 Industrial Ave. fST/07-j ❑ Unu 2 <br /> A. 339 Industrial Ave. � I OZ320 S. Stockton Street Unita411 S. Stockton Street pG p <br /> r ndd \ <br /> INIO� 942 S. Stockton Street "W (01)l� Ripon (4W <00 ').114 AG) Ve � <br /> 1` 222 E. Fourth Street usably *A> 1 Ripon �r � Z ❑ Unit 5 <br /> a. pG-5 01) <br /> s. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to y <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 111 <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE 1 1 0 <br /> X UNDERGROUND TANK(MONITORING(REMOVAL))/ DOG KENNEL DAIRY <br /> X HA2ARDOUs WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILITY✓ MOTEL/HOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY 6:00 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. Anew application maybe <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 48116 9/13/1006 web <br />