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tr1VLVl]IVVvIUL ` <br /> DATE RECEIVED <br /> 11SAN JOAQUIN COUNTY - 311116112 VIA EMAIL _- <br /> #1 OF 4 ENjvZONMENTAL HEALTH DEPARTN44T A `� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Tina Cheney BUSINESS/AGENCY: Neil O.Anderson &Associates <br /> ADDRESS: 902 Industrial Way CITYISTATEIZIP: <br /> PHONE (1): 209-747-0640 PHONE(2):209-367-3701 FACSIMILE:209-333-8303 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative 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 Cheney(Digital Signature) DATE November 16, 2012 <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> J Street# Street Name City ❑Unit 1 <br /> 1. 223 N.Hunter Street N , rock <br /> n (Ja 0 60 <br /> 2. 148 E.Miner Ave. n s ❑Unit z <br /> 3. 130 E.Miner Ave on <br /> 4. 120 E.Miner Ave. Stockton unit 3 <br /> 5. 0 <br /> 6 Unit 4 <br /> 7. <br /> 8 ❑ Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY X SOLID WASTE FACILITIYYNEEnI)i CV, .,� Z <br /> X OTHER CLEANUP SITE(NON-LOP) F1 HOUSING ABATEMENT X WASTE TIRE &I6 ffira/1 <br /> X UNDERGROUND TANK(MONITORINGIREMOVAL))(_ El FOOD FACILITY ❑ DAIRY O/j144 (1-z.'—(Z, <br /> X ABOVEGROUND TANK ©N, ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> X HAZARDOUSWASTEIHA2ARDOUs MATERIALS O< ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> X TIERED PERMITTED FACILITYd` ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE 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 un 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. 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. BOXED AREA--EHD USE ONLY <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4846 914112 <br />