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j Tr OAQUIN COUNTY <br /> EHD LOG NUMBER <br /> SAV <br /> J <br /> — - ENVIRONMNTAL HEALTH DEP AI !Mt" ' <br /> L)VT <br /> 600 E. Main Street, Stockton,CA 95202-3029 <br /> NEALTt felephune: (209)468-3420 Fax: (209)464-0138 Web: wwvv.sjgQv.org/ <br /> p R��1�TfS RVICES PUBLIC RECORDS RELE+A.SE APPLICATION <br /> APPLICANT: Tina Cheney BUSINESS/A®ENCY: Neil 0, Anderson &Associates ; <br /> ADDRESS: An2.industrial W2X, I adi, CA 95240 <br /> PHONE(1):.(209)367-3701 ,—PHONE(2): FACSIMILE: (209) 362_4228 <br /> TENTATIVE*APPOINTMENT DATE: 4* 7, 200$ TWO: 9:00 AM <br /> (Plugs®allow 10 business days from date of application submittal-"Tontativo only.must be confirmed) <br /> ®CHECK sox To 8XPEDITE REQUES .00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 6USINESS BAYS <br /> SIGNATURE OF APPLICANT DATE June 27 2008 <br /> Electronic Information: ®List Q Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY A <br /> Street 9 Street Name City ❑ Unit 1 \ <br /> � 7316 MurrayDrive Stockton s JVID 5 <br /> 2. Il Unit2 <br /> 4. Jki <br /> . � <br /> 6. ". Unit 4 <br /> 7. <br /> $_ Unit 5 <br /> 9. .� <br /> 1p. units <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTME=NT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) X HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> X UNDERGROUND TANK(MONITORING/RHMOVAL)K DOG KENNEL DAIRY <br /> X HAZARDOUS WASTE GENERAYOR a CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> X TIERED PERMIT=FACILm(x MorELJHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING POOLISPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Review- MONDAY-FRIDAY 8:00 AM-:ooPM - 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 /> 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 conformed 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 EMD 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHO Z—M W13ROPO Web <br />