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04/21/2009 13:56 2093338' LODI DOWNSTAIRS PAGE 01/01 <br /> DATE ReCclvt u - <br /> nE) EC f IIl5(�i SAN .10Af�UIN COUNTY EFIO LOG NUMBER <br /> J L ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 <br /> APR 2 2 2D0� Telephone; (209) 4681EasMain 2 <br /> 3420 fax. (209) 464-0138 Web: <br /> 3029 W <br /> ENVIR()f�Itt9Esjgov.o d / <br /> PER W HEALTH~ PUBLIC RECORDS RELEASE APPLICATION <br /> Z?4 <br /> APPLICANT: ina Chene <br /> ADDRESS: 902 Industrial Wa BUSINESS/ACENCY: Neil 0. Anderson & Assoc Inc. <br /> PHONE(1): 209-747-0640 City/state/zip �� <br /> PHONE(2): FACSIMILE: Z09`369-42` 28�_ <br /> TENTATIVE*APPOINTMENT DATE: m Aril 27 2009 <br /> �{ (Please allow 10 business Jaya frodAte of application submittal-"Tentativo onlTime: 8:00 AM - <br /> M�l CHECK BOX TO EXPEDITE P.EQUEST. y-must be confirmed) •- . <br /> X105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU9INES ' <br /> SIGNATURE OF APPLICANT � 1,lil�ild <br /> T pril22, <br /> Electronic information: ❑ List E] <br /> Map—Description: <br /> _ 5tr e# FILE ADDRESS <br /> --, Street Name —�� City _ EHD USE ONLY <br /> . 100 E. Lodi Ave <br /> _ 2• 122 ` •— Lodi _ El 1 <br /> E_Lodi Ave Lodi <br /> - —__.125_- _ . E. Lodi Ave -Lodi -- - Ll Unit 2 Ali <br /> 4. 200 — — -- — — — -- _ Lodi�/ 14� <br /> odi_A-ve Lodi \ <br /> 5. 204 E. Lodi Ave unit a <br /> 6. —.� _ Lodi—�. <br /> 288 E. Lodi Ave <br /> 7• 301 ---- Lodi — unit <br /> E. Lodi Ave _ Lodi <br /> 8 303_ S, Cherokee Lane — <br /> Lodi 35a$ unit s <br /> 9. 400 E. Lodi Ave_ <br /> io. 510 ` � •-- — —Lodi <br /> E. Lodi Ave Lodi ""a ❑ unit s <br /> Specific Date Range of Information Requested: From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT Flt_E$ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) <br /> LOP <br /> OTHER CLEANUP SITE(NON-LOP) ) ig HOUSING ABATEMENT <br /> UNDERGROUND TANK(M ) ©WASTE TiRE <br /> ONITORING/REMOVAL M FOOD FACILITY d SOLID WASTE FAGILITY/VEInCLE <br /> HAZARDOUS WASTE GENERATOR El DOG KENNEL <br /> TIERED PERMITTED FACILITY 11 CHICKEN RANCH ED DAIRY <br /> Q MOTEUHOTFL WASTEWATER TREATMENT PLANT <br /> d MEDICAL <br /> WAS PIERCING O PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑MEDICAL Wg97E FACILITY CI OTHER(PLEASEA i7 LAND USE APPLICATION SITrs <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILA��rOR R[ IEwMONDAY-FRSPBCIFYJ <br /> DAY <br /> 1. List up to ten addresses in the space above. Select the type(s)of files frolm the loi t above by checking he a HOLIDAYS. <br /> ran(es). At least one file type MUST be selected. ax toOf 464-0138 or ail o the address indicated above. <br /> Address <br /> appropriate <br /> ranges Will not be accepted–for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will bra 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 <br /> days after receipt Of application. The files will be held for a maximum of five business days for reviewAppointmntsn(10) <br /> should be scheduled accordingly. <br /> 3. A file that is aCtively being worked on by EHO staff may not be Immediately available for review. A new application maty be <br /> submitted when,thre fide is available. <br /> 4 Any file not rettu ned 11 the same condition as released wV1 be reorganized by EHD staffat t1W expanse of the applicant. <br /> 'Future file revtilovs bylthe same applicant may require ai S1iigS deposft prior to review. <br /> EKD USE ONLY <br /> PUSLIC RECORDS RELEASE AFP FORM <br />