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05/. //' C-gyp_2232012 11:02 209333$303 SAN <br /> DOWNSTAIRS PAGE 01/01 <br /> DA. • IVSD TAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT � (A <br /> MAY 2 4 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 A <br /> Telephone; (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney BUSINESS/AGENCY: Neil O. Anderson &Assoc. <br /> ADDRESS: X102 Industrial Way CITY/STATE/ZIP:-Lodi, CA 95249 _ <br /> PHONE (1): 209-747-0640 PHONE(2): FACSIMILE: 209-333-8303 T_ <br /> TENTATNE•APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confNmad) <br /> ❑ CHECK BOX TO EXPEOITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATUItEOFAPPLICANT Tina Chen _ DATE (v)8 24 201,2 <br /> Electronic information: ❑ List Q Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name GICy <br /> Unit f <br /> 1• 1922 Washington Street Stockton <br /> A / 2• 2040 Washin ton Street Stockton li a P <br /> 3 unt2 <br /> 2005 Wash_. ington Street Stockton fdrh <br /> 4 2115 Washington Street Stockton P <br /> 5• 100 _ Ventura Ave Stockton unit 3 <br /> LT. ��rx nta <br /> s. _ <br /> 9 <br /> 10. <br /> p colt, <br /> Spcdfle Dano Rdnge of information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT IU SOLID WASTE FACILITYIVEHICLE l /s'► <br /> [E OTHER CLEANUP SITE(Noll-LOP) ENVIRONMENTAL <br /> FOOD FAOIM ®WASTETIRE <br /> ®UNDERGROUND TANK(MONITORINWREMOVAL) El DOG KENNEL ®DAIRY <br /> p HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH y]WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACIUTYOL- I1 MOTELIMOTEL x❑PUMPER TRUCKIYARD/CHEMICAL TOILETS 5 <br /> ®TATTOO/BODY PIERCING ❑P0OLISPA <br /> O MEDICAL WASTE FACILITY ®LAND USE APPLICATION SITES <br /> ©COMPLAINT RECORDS QOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 8;00 AM-S;ODPM(EXCLUDING HOLIDAYS) <br /> 1. Lis u to to addresses In the space above, Select the types)of files from the list above by checking the appropriate <br /> hox(os}, At toast one filo type MUST be selectod, ax to 09 45a-0t3t1_or mall to th®address indicated above. Address <br /> ranges will not be accepted•Tor additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:D0 pm will bo processed the next business day. <br /> 2. The EMP will notify the applicant if any EHD Tiles exist, An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. Tho files will b®help 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 EHb staff may not be Immediately avallable for review. A new application may be <br /> submitted when the file is available. n <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. <br /> _ c <br /> �0 6 <br /> eHooe.oa <br /> �11ulst0n x(11-- 5/Obi i s,n fhe.Us7 �i�P {�� 2D4�j", <br /> wash�nq�rL, <br />