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_QS/2©/2014 16:37 2093332303 LODI DOWNSTAIRS PAGE 02/02 <br /> DATE RECEIVED SARECEIVEN .10AQUIN COUNTY LOG NUMBER <br /> 0 <br /> ENVIRONMENTAL HEALTH DEPARTIIfpEy <br /> AUG 2 2 2014. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-•0138 Web. vwwu.sjgov.org/ehd <br /> ENVIn,ONMEWALHOETH PUBLIC RECORDS RELEASE APPLICATION <br /> �QPR'..171�cntllr'Gc, ._ <br /> APPLICANT: Heather Shaddox BUSINESSIAGENICY: Neil O. Anderson & Associates <br /> ADDRESS: 902 Industrial Way CITY/STATEIZIP: Lodi,CA 95240 <br /> PHONE(1): 209-367-3701 PHONE (2):209-747-1000 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 /> S+� ❑ CHECK E30X TO F-1CPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> S�t SIGNATURE OF APPLICANT DATE August 21, 2014 <br /> ctronic Information: ❑ List❑ Map--Description: <br /> FEHD USE ONLY <br /> FILE ADDRESS <br /> y Street 7t Street Name ..city /�� EI Unit 1 <br /> 1. 200 N. Beckman Road Lodi <br /> 2880 - E_Victor Road Lodi Ni�M 5, ��»'��`� � /unit 2 <br /> UIP,3, 845 E. Pine Street Lodi r1�-t' M� N 419) <br /> 4. 900 E.Victor Road tv t✓ = Lodi V i�k� "c�C�Q ❑Unit 3 <br /> 5. 920 E.Victor Road Lodi <br /> 6. 873 E. Pine StreetM1� f Lodi <br /> iNbpp'2}+'1ihiSrJ�.CC .------ - Z]Unit 4 <br /> 7. 861 E. Pine Street �;��/% Lodi <br /> - 8. 921 E.Pine Street r Lodi ❑Unit s <br /> a 9. 930 E.Victor Road Lodi <br /> 10. 940 E.Victor Road Lodi H iyl u5r(u� r C_Ir- zunit 6 <br /> eci rhe of In ` : From LQAAI ^ See mstkvm S'l <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES5 nn 1 it ��15) �:,Grcsp <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY o ASn ACIILQNI /CLE <br /> ®OTHER CLEANUP SITE(NDN-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> 2 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY Z DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL Z WASTEWATER TREATMENT PLANT A"7 <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEI. ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY Q POOLISPA Z 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:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to tg_ 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 1 he 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. <br /> !.�nn+, ...r ly 01 "t: °7rnx •;ia.+ ,na'I :;1 ui'i >.p, qB <br /> �, 'M — ,:.y.pau .,y:vy„,il�'. .,i,..4w:. ,.1,t:.y:: k...3..1. :":1 :.0 "t; •„r; ...i'E,:o'+ .iF 'k ifik�F .civ <br /> N .f`qy�,Ft., i{ ...y .i r, .r,:— +;:� ='r^+. t- �',;qi+��t�W. .,�, li � e•,,+.L'I,i�,i ii;�oam+ k„ ”mJ3 +wti1ri,i� <br /> . i r w ? 12r 4II .fi; f •r,i.p rM, t • ,.d .;T, "9 — +rds tlu. ry, -: nIWAG <br /> AN <br /> c ~re =� . rR N4ae/ `C "��rl-• ab ���l �� ��w ,� g ,:v�,cr 11J ` <br />