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03/30/2010 09:19 2093336303 LODI DOWNSTAIRS PAGE 02/02 <br /> EHO LOG NUMBER <br /> (� YD SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 3 1 2010 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wvv.sjgov.org/e d FI <br /> ENVIRW&IENT HEALTH <br /> PERUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney __.BUSINESSIAGENCY: <br /> ADDRESS: �r0r_2 Indt�ria Wok chy/state0p Lb�lr 095240 <br /> PHONE(1): 2Q4"3F,7'37(j1 PHONE(2): ,FACSIMILE: 209-3FiA�472H <br /> TENTATIVE"APPOINTMENT DATE: 03^31-10 --Time: gam <br /> (please allow 10 business days from date of application submittal-'Tentative orlly-must be confirmed) <br /> f7 CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 4-12-10 <br /> Electronic Information: [] List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> S <br /> treet Street Name City ❑ Unit1 <br /> W. Turner Road Lodi 1)F,' rTurner Road Lodiunhz__ UnR3 nit 4 <br /> a10.7,^ ❑ Unit 5 <br /> g, _ ❑ UnR6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> pUNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOUD WASTE FACILrrYfVF.HICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> XUNDERGROUND TANK(MONITORINGIREMOVAL) C3 DOG KENNEL 0 DAIRY <br /> ,X HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WA91EWATER TREATMENT PLANT <br /> O TIERED PERMITTED FAGIUTY 13 MOTELMOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLISPA 13 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) , <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvNLAoLE FOR REVIEW• MoNDAY.FRIDAY 8:00 AM-S:COPM - EXCLUDING HOUDAYs. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464 0136 or ma0 to the address Indicated above 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 he <br /> submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will he reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior t0 review. <br /> EHD USE ONLY <br /> EHD 48-06 a/04108 PUBLIC RECORDS RELEASE APP FORM <br />