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03/22/2012 05:51 2093338303 LODI DOWNSTAIRS PAGE 01/01 <br /> rnjEG@VED <br /> SAN .,IOpQUIN COUNTY EHD LOG NUMSEP <br /> Mot 2 3 NIZ ENVIRONMENTAL, HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3025 <br /> ENVIRONMENTAL HEALTH Telephone: (209)4683420 Pax: (209)464-0138 Web; www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:TICK CheneyBUSINESS/AGENCY., & <br /> Neil 0. Anderson Associates, Inc. <br /> ADDRESS: .9-0-2Inc us-rias V a CITY/STATezip:_Lodi, CA 95240 <br /> PHONE(1): 209-747-0640 PHONE(2): FACSIMILE: 209-333µ8303 <br /> TENTATIVE*APPOINTMENT DATE: Plea <br /> date <br /> Ca <br /> (Please allow 10 business days from date of a lication submittal- Time. <br /> PP •Tentative only,must be confirmed) <br /> ❑ <br /> CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tina Chene <br /> DATE 3-22-12 <br /> Electronic Information: E]Llst❑ Map—Description: <br /> FILE ADDRESS LHO USE ONLY <br /> Street 9 Street Name City <br /> 1. 1320 . UnR i <br /> _Sacram �toSt <br /> Lodi <br /> 1325 _ Sacramento Street Lodi <br /> nit 2 <br /> -5 - ----- - - - __�j <br /> l�unit 3 0� <br /> 6. <br /> 7, - 11Tnlt 4 <br /> �r. <br /> 8. - <br /> g• ❑Unit 5 <br /> 10, <br /> Speclflc Date Rango of information Requestad: From nit 6 <br /> ENVIRQNME NTAL HEALTH DEPARTMENT FILES — to <br /> [X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) <br /> OTHER CLEANUP Sne(NON-LOP) HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> ® d FOOD FACILITY <br /> )UNDERGROUND TANK(MONITORiNGIREMOVAL �— ❑WASTE TIRE <br /> ]HAZARDOUS WASTE GENERATOR c,,— D CHI KENNEL �DAIRY UP, <br /> E]TIERED PERMITTED FACILITY C]CHICKEN RANCH WASTEWATER TREATMENT PLANT � <br /> C]MOTELIHOTEL <br /> ,9-30,1—Z <br /> �]TATTOO/BODY PIERCINGIisl PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> I� MEDICAL WASTE FACILITY D OTHER POOL/5PA 21 LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REV Ew MONDAY-FRIDAY 8:00 AM-5:OOpM EXCLUDING HOLID <br /> 1. List u to en add eases in the space above. Select the type(s)of files from the list above b checkingthe appropriate <br /> ATS) <br /> box(es). At least one file type MUST be selected. Fa to 0 464-0138 or mail to the address Indicatd aboAddress <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 /> The <br /> otify the <br /> If <br /> EHO files exist. An <br /> Z E pet j appointment tll he confirmed • t ten(10)dayfte reeFof appllation The es wll be held for a maxum f five busness Cla s for reviwAppointmentsshould be scheduled accordingly, <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A neve 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 reviGiPs by the same applicant may require a$122 deposit prior to review, <br /> �„' EHAllSE.DNI.X <br /> EMD A8-06 <br /> 07129!70 <br />