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1 UHf t Ktl.tlVCU SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Philip McLaughlin BUSI NESSIAG ENCY:_Bureau Veritas <br /> is <br /> ADDRESS: 2430 Camino Ramon, Suite 122 CITYISTATE;FIZIP:San Ramon,CA 94583 <br /> PHONE(1): 925-498-6512 PHONE(2):926-680-4882 FACSIMILE:925-426-0106 <br /> TENTATIVE'APPOINTMENT DATE: 1125112 !b Time: 9:30 A.M. <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 DATE t t( 17-- <br /> Electronic Information: ❑ List❑ Map—description: <br /> FILE ADDRESS 1= EMD'USE ONLY <br /> Street# Street Name City <br /> ❑unit 1 !!! <br /> 1. 1045 South Cherokee Lane Lodi <br /> 2. 1130 South Cherokee Lane Lodi <br /> ❑Unit 2 <br /> 3. 880 South Beckman Road Lodi x <br /> 4. 901 East Vine Street Lodi ❑Un{#3 <br /> 6. <br /> ❑Unit 4 <br /> 7. <br /> 8• # ❑unit 5 <br /> 9. <br /> 10. : <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From I, to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY v ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ©HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> [�TIERED PERMITTED FACILrrY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMr.AL TOILETS <br /> TATToOBODY PIERCING ❑POGUSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> Ik <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEw: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> ' 1. List up 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 4640138 or''ma11 to4he address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,'contact the EHD. Applicatlons 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 /> 1 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 /> - _ND USE ONLY <br /> 1 <br /> Fmn dA11R - - A1111i <br /> t <br />