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05:23/2012 11:02 209333R303 LODI DOWNSTAIRS PAGE 01/01 <br /> 4 'rL <br /> DAREMIV LFED SAN JOA(�UIN COUNTY EHD LOG NUMBER <br /> R <br /> ENVIRONMENTAL HEALTH DEPARTMENT Q <br /> MAY 2 4 2012 1868 East Hazelton Avenue, Stockton, GA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s!gQv.org/ehd 1V1 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_Tina Cheney 9USINESS/AGENCY: Neil 0. Anderson &Assoc. <br /> ADDRESS: 902 Industrial Way CITY/STATEIZIP: Lodi, CA 95249 <br /> PHONE (1): 2O9-747-0640 PHONE(2): FACSIMILE: 209-333-8303 <br /> TENTATIVE'APPOINTMENT DATE: Time' <br /> (Please allow 10 business days from—da—le-61 xppllcadon submldai•*TentatJve only-must be confirmed) <br /> ©CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 'Tina Chaney DATE Ma 24 2012 <br /> Electronic information: ❑ List©Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streetlp Street Name City, <br /> 1, 1922 Washin ton StreetA Stockton p umtt <br /> / 2. <br /> 20 <br /> 3. 40 Washin ton.Street Stockton 1r <br /> 3, unk z <br /> 2005_ Washington Street Stockton un <br /> 4. 2115 Washington Street Stockton P lC/ <br /> 5 <br /> e 100 Ventura Ave Stockton -� b2 4/OUi'/i� <br /> 7. nN4 . <br /> B. <br /> nits <br /> 10. / <br /> [i DNt,6 <br /> Specific Date Rangn of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT IU SOLID WASTE FACIUTYIVEHICLE l <br /> ® <br /> OTHER CLEANUP SITE(NON•LOP) y El Fool)FACILITY ®WASTETIRE <br /> ® Lip <br /> U',, ,�(///� <br /> UNDERGROUND TANK(MONITORING/REMOVAL)CJ ❑DOG KENNEL ® L <br /> DAIRY I�� V <br /> I]HAZARDOUS WASTE GENERATOR lf— ❑CHICKEN RANCH Gf WASTEWATER TREATMENT PLANT &-JA 2— <br /> ED TIERED PERMITTED FACIUTYQi­ R1 MOTELIHOTEL X❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> R1 TATTOOISODY PIERCING ❑POOL)SPA ®LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ©COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY B:OO AM•5;OOPM(EXCLUDING HOLIDAY$) <br /> 1. Lls to to addrosses 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, EaX to 209 464-0138 or m to the:ddress indicated above. Address <br /> ranges will not be accepted•for additional assistance with file addre <br /> 3:00 pm will be processed the next business day. sses,contact the EHD. Applications received after <br /> 2. The EMP 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 revlew. 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 now 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.017 if) <br /> 4- `5 <br /> eRo<e-0a <br /> wn�p(ci��i} cD�35 (mu ton rP} SIO 6) )S;n fkv-USTQIP jt)'- '24,, <br /> wash 1nyftn , <br />