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04/21/2009 13:56 2093334 LODI DOWNSTAIRS PAGE 01/01 - <br /> DATC RECEIVEL) <br /> �( <br /> EC fl V�(� (ipp G� SAN JOAQUIN COUNTY EHOLOG NUMBER <br /> u ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 � // <br /> APR 2 22009 Telephone; (209)468.3420 Fax; (209)464-0138 Web: www.sjgov.olld`� V <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION / <br /> PER"�FP1 PCFTrnr+n <br /> APPLICANT; 02 Cheney ,,BUSINESS/AGENCY; Neil Q. Anderson &AssoC Inc. <br /> ADDRESS: 902 Industrial Wav <br /> city/stalerz(p Lod' A�0 <br /> PHONE(i); ZO9'747-064O PHONE(2): �`� <br /> FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: ADTII 27 2009 209-359-4228 Yr.:, •, <br /> (Please allow 70 business days from date of application submittal-'Tentativo only'must h8:00 AM <br /> CHECK BOX TO EXPEDITE REQUEST-,5105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED N 3 BUSINESS DAYS, <br /> SIGNATURE OF APPLICANT (�,yau+/ <br /> DA 0122, 2009 <br /> Electronic Information: ❑ List❑Map–Description: w <br /> FILE ADDRESS USE ONLY <br /> Streets ---AHD Street Name~ _ <br /> _ City_ - <br /> 1. 100 E_Lodi Ave _ Lodi <br /> — —.—..---"- —' 11-[ r Unit 1 <br /> 2• u 0 .122 E_LodiAYe <br /> 3. — LOdi- - —. .. a �lh 1��{gti�❑ UNtz <br /> _ _ __125__ E. Lodi Ave Lodi <br /> 4. _200 -- — — — — — — — - — <br /> 5. osliAv ELodi T N0W*'0 Unita <br /> 204 \✓ <br /> E. Lodi Ave Lodi <br /> 6. 2138 E. Lodi Ave Lodi a0.9j�6° Umt4 <br /> T• 301 E. Lodi Ave <br /> Lodi <br /> di <br /> B. �— ---_ <br /> 303— S. Cherokee Lane Lodi d r n bE�1 Nano/p(' Units <br /> 9. 400 E. Lad;Ave _ — _ -- <br /> _ I <br /> 10, 510 E. Lodi ve Lodi (0 Unit <br /> ❑ Unit s <br /> F' <br /> Specific Date Range of Information Requested:From <br /> [o <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Of HOUSING ABATEMENT <br /> CI OTHER CLEANUP SITE NowLOP D WASTE FACILITYNEHICLE <br /> )VIan <br /> 'X UNDERGROUND TANK(MONITORING/REMOVAL ffvv` t <br /> FOOD FACILITY ❑SOLIC3 WASTE TIRE 3 rU� <br /> HAZARDOUS WASTE GENERATOR O DOG KENNEL U DAIRY / 1 <br /> Cl TIERED PERMITTED FACILITY Q CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TATTOOIBODY PIERCING C3 MOTELIHOTEL ❑PUMPER TRucK/YARDICHEM TOILETS <br /> C7 MEDICAL WASTE FACILITY 0 POOLISPA U LAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MON DAY•FR'DAY 8;00 AM•5:00PM - E%CLUOINO HOLIDAYS. <br /> 1. List up to ten addresses in the space above. SoI¢ct the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. ax o 09 46A-0138 or mail to the addr¢ss indicated above Address <br /> ranges will not be accepted-for additional assistance with filo addresses•contact the EWD. Applications receWod 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 will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of flue 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 whern tttefile is available. <br /> 4. Any file not returned IH the same condition as released w0l be reorganized by EHD staff at the expense of the applicant. <br /> 'Future file rleviev s bYlthe same applicant tray require ai$195 deposit prior to review. <br /> I END USE ONLY <br /> pVgLIC RECORDS RELEASE APP FORM <br />