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SEP-01-2009 12:01 Fro.- To:1209464013R Paee:1�1 <br /> EHD LOG NUMBER <br /> ° ��U�® SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ao 6 29 2�1 600 East Main St. Stockton, CA 95202-3029 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Nicole Cooksey BUSINESS/AGENCY: Lockohouse Retail Group <br /> ADDRESS: 1840 San Miguel Dr, Suite 206 CITY/STATE2IP: Walnut Creek, CA 94586 <br /> PHONE(1): (209) 477-4499 . PHONE(2L FACSIMILE:(925) 937-7227 <br /> TENTATIVE'APPOINTMENT DATE: 9112/11 Time: loam <br /> (Piaa&Y'Ptiow iu ouwinesP aiaya iwm unit'vi uppUumiu„auu,niiia:-'i w,iaii.c vu:r-.::i:6::.a:dr.7:;.lic.+�•----- -----^- ---•— <br /> ❑CHECK BOX TO EXPEDITE REST- 7 5 A H R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Sheet Name city 0 Unit t <br /> 1. 420 W. Kettleman Ln Lodi . <br /> 2. 880 E. Victor Rd Lodi Ej Unit <br /> d .._ . . ._ nit 3 /t <br /> 5. ., Un114 <br /> 7. _ <br /> Units <br /> % ❑Unit <br /> Specific Date Range of Information Requested: From 2000 to current <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> I�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILrrYNEHICLF <br /> ❑OTHER CLEANUP SITE(NON-LOP) F1 FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE Avon ARI E FOR REVIEW: MONDAY-PRIOAY 6:00 AwS:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addressee in the spaoe above. Select the type(s)of filow 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 fila addresses,contact the EHD. Applications received offer <br /> 3:00 pm will be procasaed the next business day. <br /> 2. The EMD will notify the applicant If any EHD files exist, An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files will he held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A rile 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 /> ENe vSC ONLY <br /> E o�e-oe " avn <br />