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03/09/2005 11:31 209 --4228 NEIL ANDERSON '"VIRO PAGE 01/0 <br /> V � <br /> � (�D EHD LOG NUMBER <br /> �C SAN JOAQUIN COUNTY <br /> MAN q - 2005 ENVT oNmENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> 15(0 7 <br /> ENVIRONMENT HEA(70)468-3420 Fax: (209)464-01.38 Web:www.co.san joaquinxa.us/el►d <br /> PERMIT/SERVtCES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Chi Walker. BUSINESWAGENCY: Neil O.Anderson&Assoc. <br /> APPLICANT: P <br /> ADDRESS: 902 Industrial Way, Lodi,CA 95240 <br /> PHONE: <br /> 209.367.3701 x19 FAGSIMILE: 209.369.4228 <br /> TENTATIVE*APPOINTMENT DATE: aL3/ Tlm6: <br /> (Please allow 90 buslnass days from diats of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST- FE QUEST PROCESSED IN 3 BUSINESS DAYS <br /> 0�5 <br /> SIGNATURE OF APPLICANT DATE 3 <br /> t)epartment Use Only <br /> FILE ADDRESS UNIT <br /> t. 8troat <br /> 1505 Navy Umc All i:c in Stockton,952,06 Unit <br /> 2. Street 1415 Wvt Anderson St <br /> 9. Street 1624 NavyUrivc C =-wh1t2 �� t <br /> 4. Etroct loSS S.St ekton St. CI ` .7 <br /> 6 street 1501 ehart�Way <br /> city " Uni>?00" <br /> t 3 <br /> 1441 Navy Drive <br /> 6. Street _ <br /> 7. Street IRi55.PcrehitlFAoc. Unit4 <br /> 8. Str"? 1240 Navy INivc w;,.�' rt :`7 •.•`. I,t' ® . <br /> 9, Strout <br /> 1245c:h tuw,y C �' -'.� ^ El Units <br /> 10. stat 1214 W.w10nmston st <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .� NDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ld SOLID WASTE FACILITY <br /> 2fTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> ��tINDERGROUND TANK(MONITORINC49EMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ��,JJ 0 CHICKEN RANCH O PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY p POOLISPA ID LAND USE APPLICATION SIR=S <br /> ❑ TATTOO/BODY PIERCING n OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Select the type(s)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 mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for 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 /> 5. *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 /> RMEWED YES NO RE%AFW DATE <br /> EHD 4602006 <br /> 6/O/zooa <br />