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p <br /> DATE RECEIVEDt t . �' EHD LOG NUMBER <br /> /4 <br /> N JOA UIN COUNTY <br /> ENVIR <br /> EALTH DEPARTRA <br /> f.�,'�i`� 1868 East®aEan AvenMENTAL ue,e Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138Web:www.sjgov.org/ehd <br /> PUBLIC RC t S APPLICATION <br /> APPLICANT:Tanya Scheftner BUSINESSIAGENCY:Neil 0.Andersen &Associates <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP:Lodi, CA 95240 <br /> PHONE (1): 209-357-3701 PHONE(2):209-770-0731 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS Y <br /> SIGNATURE OF APPLICANT _ I�. `>� �=- -ren* DATE September 24,2014 <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city nit <br /> _ <br /> 1. 975 S. Fairmont. Lodi <br /> 2. 973 S. Fairmontdi Lo ` <br /> � " e �� unit z ' <br /> 3, 845 S.Fairmont Avenue#7 Lodi <br /> 4. 845 S.Fairmont Avenue#8 Lodi "P <br /> 5. 845 S. Fairmont Avenue#9 Lodi <br /> 6. 1115 S. Fairmont Lodi unit4 11�Q� ; <br /> 7. 930 S. Ham Lane Lodi <br /> � <br /> 8. 10200 Trinity Parkway Stockton 'I ❑ unit 5 <br /> 9. 10235 Trinity Parkway _ Stockton�� � <br /> 10. 10250 Trinity Parkway Stockton Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY [ESOLID WASTE FACIUTYNEHICLE ' <br /> j ZOTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIREf.I I <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL ❑FOOD FACILITY DAiRY � t� <br /> ABOVEGROUND TANK PC CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS,, . ❑MOTELIHOTEL PUMPER TRIICKIYARDiCHEMICAL TOILETS' <br /> ® TiERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING Z COMPLAINTiRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REyIEw: MONDAY-FRIDAY$:00 AM-5:00PM(EXCLUDING HOLIDAYS) . <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(209)464-0138 or mail 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 /> i <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 Ise <br /> .- t. 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$125 deposit prior to review. -BOXED AREA-EHD USE ONLY, <br /> � r <br /> a <br /> 7.. rd <br /> tld 0d e17 &icelildir <br /> a EHD 48-06 sa4rts <br />