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RECEIVED <br />N 2 8 2011 <br />SAN JOAQUIN COUNTY <br />68-3420 Fax: (209) 464-0138 Web: w\ArNAgov.orgiehd <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 4 <br />9W <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />EHD LOG NUMBER <br />EHD 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />01 /27/2011 12:25 2093330303 <br /> <br />LODI DOWNSTAIRS <br />PAGE 02/02 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: _Tina Cheney <br /> <br />BUSINESS/AGENCY: <br /> <br />ADDRESS: _902 Industrial Way City/State/Zip L,Qa CA 95240 <br />PHONE (1); 209-747-0640 PHONE (2): FACSIMILE: 2D9-333-8303 <br />ca ll TErsITATIVE* APPOINTMENT DATE: Please ca Time: <br />(Please arlow 10 business days from date of application submittal - *Tentative only • must be confirmed) <br />E3 CHECK BOX TO EXPEDITE REQUEST- $105 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 1-28-11 <br />• Electronic Information: El List. Map — Description: ] <br />FILE ADDRESS El-ID USE ONLY <br />Street # Street Name City D Unit 1 <br />• 4051 Newton Road Stockton <br /> 3931 Newton Road "3 Q1 Stockton Stockton 0 Unit 2 <br /> 4105 N. Wilson Way Stockton Stockton )irt Unit 3 <br /> <br /> <br />— Unit 4 <br /> <br />7 ID Unit 5 <br /> <br /> 1:1 Unit 6 <br />1 <br />— <br />Specific Date Range of information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />to <br />XUNOERGROUND TANK (UST) CLEANUP SITE (LOP) <br />Xr OTHER CLEANUP SITE (NON-LOP) <br />*UNDERGROUND TANK (MONITORING/REMOVAL) <br />HAZARDOUS WASTE GENERATOR <br />CI TIERED PERMITTED FACILITY <br />O TATT00/Boov PIERCING <br />0 MEDICAL WASTE FACILITY <br />HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE <br />CI FOOD FACILITY WASTE TIRE <br />0 DOG KENNEL 0 DAIRY <br />0 CHICKEN RANCH <br /> 0 WASTEWATER TREATMENT PLANT <br />0 MOTEL/HOTEL 0 PUMPER TRUCK/TARO/CHEM TOILETS <br />0 POOL/SPA In LAND USE APPLICATION SITES <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY.FRIDAY 8:00 Am•5:00141 - EXCLUDING HOLIDAYS. <br />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. ax 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 />The EHD win 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 />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 />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 />EHD USE ONLY