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06/13/2011 15:16 20933^°903 -`T" LODI DOWNSTAIRS- PAGE 02/02 <br /> REC IrVED <br /> SAN JoAquw COUNTY EHD LOG NUMBER <br /> JUN 15 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 1 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TlflaChen BUSINESSIAGENCY: NOA <br /> ADDRESS: X02 Industrial Waar CitylStatelzip �01�1, CA 95240 <br /> PHONE(1): : 209-7__.__ 4J-Q[40 PHONE(g); FACSIMILE: -Q <br /> TENTATIVE'APPOINTMENT DATE: Please call Time: <br /> (Please allow 10 business days from date of application submittal•'Temedw only-must b cconfirmod) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE Or APPLICANT „ DATE 6-13-11 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EH SE ONLY <br /> _ <br /> sweet p Street Name Clty - " <br /> 1' 394D N. Traty Blvd -- - Tracy ❑ Unit 1 <br /> 2. 3925 N. T atY Blvd TTaN f�Unit 2 <br /> 4' .. Unit 3 <br /> S. L/ <br /> Unit4 <br /> 7. <br /> 8, ❑ Unit 5 <br /> 10, Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT IFIIS <br /> LE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT XSOLIDWA8m FACILITYNEHICLE <br /> OTHER CLEANUP Sne(NON-LOP) 171 FOOD FACILITY ❑WA:;TE TIRE <br /> UNDERGROUND TANK(MONITOR(NGIREMOVAL) O DoG KENNEL y00 RAINY <br /> 13 HAZARDOUS WASTE GENERATOR M CHICKEN RANCH ��:XyIIrrrWASTEWATER TREATMENT PLANT <br /> 0 <br /> TIERED PERMITTED FACILITY MOTELIHOTEL PUM PER TRUCKNARD/CHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLI8Pp LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00M . EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. FaX to 08 464-0138 or mall o the add Calls indica ed 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 H any EHD flies 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 clays 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 be <br /> 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$105 deposit prior to review. <br /> EEHD USE ONLY <br /> END 48.06 0104/!08 <br /> PUBLIC RECORDS RELEASE APp FORM <br />