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RIS/ SVrz:) 17078773276 ANTON PAGE 111/01 <br /> DATE RECEIVEDR4SAN W 'r% <br /> JUN 0 7 2011 SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL. HEALTH DEPARTMENTjjr <br /> ENVIRONMENTAL HEALTIf{ 600 East Main St. Stockton, CA 95202-3029 �.� <br /> PERMIT/SERVICES elephone: (209)468-3420 Fax: (209)464-0138 Web; www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kenneth ,Anton BUSINESS/AGENCY:-Anton Geological <br /> ADDRESS: P. C- Box 370 CITY/STATE/ZIP: Elk, CA 95432 <br /> PHONE(1): (707) 877-3276 <br /> PHONE(2): FACSIMILE: (707) 877-3278 <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Please allow 10 business days from data of application b al-*Tentative only-must be conflrmed) <br /> Q CI-IECK BOX TO EXPEDITE REQUEST- 2 AS 0 EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE June 7, 2011 <br /> Electronlc Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Street Name City <br /> dL 1. 6421 Capital Avenue Lodi aC� Unlit <br /> �f N0 2. 6437 W. Banner Street Dodi r n <br /> p 3, 14749 N. -Thor—on Road Lodi I i Unite <br /> 4. <br /> 5. Unit 3 (� <br /> / 1 <br /> 6. , <br /> 7. Unit 4 <br /> 8. <br /> 9. <br /> Unit 3 <br /> 10. <br /> ❑Unit a <br /> Specific Data Flange of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ^ a(t <br /> 0$OLID WASTE FACILITYNE III CLE <br /> OTHER CLEANUP SITE(NON-LOP) [I FOOD FACILITY ❑WASTE TIRE 1 \�� <br /> ©UNDERGROUND TANK(MONITORINWREMOVAL)y ❑DOG KENNEL r]DAIRY ��" <br /> ®HAZARDOUS WASTE GENERATO ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT �1 <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTELVO <br /> El TATTOO/BODY PIERCING ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE:FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pM EXCLUDING HOLIDAYS , <br /> 1. 1Ist up to ten addresses In the space above. Select the type(s)of files from the list above b checking the e <br /> box(es). At least one file y g appropriate <br /> type MUST be selected. 0 2 84-0138 or mail to the address indicated abpve. Address <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 /> 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$122 deposit prior to review. <br /> EHD US!OfiLY <br /> - <br /> 9- k-) <br /> 3 s'6P5 (11 r <br /> Ypa64a I I tyre Lom stn I wZZ © r - <br /> 7,� 13 y I n u t <br /> 5 cAgt9o2Zbas �D 77ui�; ',n N5 LOM ODagl�( <br /> 6-q-( eqP rwm y vont &do �P din9 loN37 <br />