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03/09/2005 11:31 2094228 NEIL ANDERSDN&'TRO PAGE 01/0 <br /> QMn/]ED EHD LOG NUMBER <br /> IU,-.U( l�lY1�V/ SAN JOAQuAV COUNTY <br /> MAI 9 — 7n05 D1'�JRONMEN Ave3 HEAFloor Stockton, <br /> ton,CA 95205 <br /> 304 E Weber vc 3rd Floor Stockton,CA 95205 <br /> ENVIRONMENT HEA(10)468-3420 Fax: (209)464-01.38 Web: www.co-san-joaquin.ca.us/chd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> Chip Weser BUSINESSfAGENCY: Neil O. Anderson&Assoc. <br /> ADDRESS: 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.367.3701 x19 FACSIMILE: 209.369.4228 <br /> TENTATIVE*APPOINTMENT DATE: :3 J Time: — <br /> (plaasa allow 10 is r loess days from data of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST $ .00 FEE)— QUEST PROCESSED M 3 BUSINESS DAYS 3 O <br /> SIGNATURE OF APPLICANT ' <br /> �k// DATE <br /> OEpartmenl Use Only <br /> FILE ADDRESS - UNIT <br /> 1 6„� 1.515 Navy Ddac cty <br /> Alla a,lhm9=6 J ry Unit <br /> 2. sUaet 1415 W"t Andmnn St city <br /> ]. sane, IG24NaTD,9ac c " `, -;� �'d '('-' R2 ��� <br /> a. E1awe 11155 S.Sn,ckmn pt. <br /> 5h'eel 1501 r'nnncr Way city Unit 3 <br /> B. 9treat 1441 Navy Ddvc C <� I c:. Ar <br /> .F . <br /> 1. Sime, I815 S.Pcrehinp,hoc. 1 <br /> A. 9esal 1249 Navy 13,ive ":.`. •._ ' 1.. <br /> 1245 Ch ham Way c �d i1 .' •� -1..— ❑ Unit$ <br /> s, seam ` <br /> Io. siren, 1zlaw,w,enm�c�s1 e <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .�}L1INDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT .t] SOLID WASTE FACILITY <br /> ,@j�THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> �JUNDERGROUND TANK(MONITORINGATEMOVAL) ❑ DOG KENNEL O DAIRY <br /> ..�22TT HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0l) MOTELMPGOUSPATEL 0 PUMPER <br /> USE APPLICATION SITEDICHEM S O TATTOOIMEDICAL ODYWAS PIERCING ❑ OTHER(PLEASE SPECIFY) <br /> O MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Select the type($)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the <br /> address indicated above. <br /> 2. EHD Will notify the applicant if any EHD files exist An appolntmentfor review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be 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 <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE.CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> FJ1a 4A.02-0OB <br /> aelRoo4 <br />