|
0°/20/2014 16:37 2093338303 LODI DOWNSTAIRS PHD
<br /> x' 02/02
<br /> L OL NUMBER
<br /> DATE RECEIVED SAN ..IOAQUIN COUNTY
<br /> RECEIVED
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> AUG 2 2 Z014 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone: (209) 468-3420 Fax: (209) 464.0138 Web. www.sigov.org/ehd
<br /> ENViRONMENTALHUffO PUBLIC RECORDS RELEASE APPLICATION
<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 bo confirmed)
<br /> S+ F-1CHECK ROX TO F_XPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> �
<br /> S�4 .etU .
<br /> SIGNATURE OF APPLICANT DATE August 21, 2014
<br /> Electronic Information: ❑ List❑ Map--Description:
<br /> FILE ADDRESS EHD USE ONLY
<br /> Street Street Name City �� yy- El Unit 1
<br /> 1. 200 N. Beckman Road Lodi ST •I �
<br /> 2 880 E Victor Road Lodi _ _ IItMAM 5 ��» <ck Unit 2_
<br /> 3, 845 E. Pine Street Lodi Ate. nn� H ujp
<br /> 4- 900 E.Victor Road �,
<br /> ��F _ 1� ��CCi` _ ❑Unit 3-
<br /> 5 _ Lodi 920 E.Victor Road Lodi ODE)LUU. -�
<br /> 6. 873 E. Pine Street �1 = Lodi _ Nbp,_ ,',Ccc,5 Lj unit4
<br /> 7. 861 E. Pine Street Lodi '�''f-' k"�'«`_�'
<br /> 8. 921 E.Pine Street )%)1 Lodi N� ❑Unit
<br /> 1
<br /> 9. 930 E.Victor Road Lodi Pit-
<br /> 10.
<br /> 10. 940 E.Victor Road Lodi F{ ��ST(„� r. C.�'~ •(d Units
<br /> ecl"T tie of Intia�np_ p � u : From 5Qe �c r7-1
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES/A-3N\ 1t (�,lSl fJC rcv
<br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [_1 MEDICAL WASTE FACILITY � 0 ASTE FACILI EHICLE , H�
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE
<br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY DAIRY
<br /> ®Ai3OVEGROUNDTANK ❑CHICKEN RANCH]DOG KENNEL WASTEWATER TREATMENT PLANT
<br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEI. ®PUMPER TRUCKIYARDICHEMICAL TOILETS
<br /> ® TIERED PERMITTED FACILITY ❑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 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)464-0138 or mail to the address indicated above. Address
<br /> ranges will not be accepted-for additional assistance with file addresses, contact i 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 END files exist. An appointment for review,will be confirmed approximately ten (i a)
<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. h;;BQXD;' REi `7
<br /> '::o,-,. -..r o :o, .,,,_.. .a• '<.: r.„,:,..'.-ern^ %ti4.n.�.. ,;n,.,...�,.{,.,_-i,.. ,�... „,.'d ;Icura r.: - :''.l:i!w ')'r^JI' ...:'
<br /> I:;. .an n ".'^;,"'""' Yrs;`. .3 9 .._-' /'+ -- .os ,1� . >k t¢• �,d Y
<br /> rl ���I.ly ht^ t' >v�lY: ' hl {• .1 ,k ^ ;!I' ' III
<br /> MIM pl ��.II d'•�I,.. ,..� (k� �'._. ��. I,•d�+ 9r, r�l. rk
<br /> r
<br /> 41..f7 rIt ILI
<br /> 01"i”,
<br /> th: 4 , r 1 ill's•, u'�'"-.�I rr,. - i. �r A\�
<br /> I. 1 I 1 111 '",^ ,...
<br /> 7*1
<br /> C0 61t'rIVAfkh.r r P+ I414W;�r1���4"Plr+rt C.�"�b�s��� °�1 Y1ui ',�1�► 9�,:t���r_.-I� '�
<br />
|