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DATE RECEIVED �� 11%� ` <br />SAN JOAQUIN COUNTY <br />nECEIVE ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, GA 952023029 <br />OC 3 � Telephone. (209) 466-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />EHD LOG <br />ENVIRONMENTAL HEI"",L.TH <br />PERMIT/SERViCEs PUBLIC RECORDS RELEASE APPL,ICAMN <br />APPLICANT:_A.1, A M & Lb"i(,H 13USINESS/AGENCY: )L g LL' C' <br />ADDRESS: MOO 1�4TERrAATIOSA'tr 0-101 CITYISTATeZIP: SEAthCWA. 18188 <br />PHONE (1): i 31.0 ) I I D -5'899 PHONE (2): FACSIMILE: c r.. 264 ) `tp2. 347. <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - "Tontgtive only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUtST- $1. 25 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT J�1f/ Il//�v��� VATF 10.31- It <br />Electronic Information: [I List 0 Map - Description. <br />_r%L AVAIL 4 B VE <br />_ to <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />Unit 2 <br />❑ ROUSING ABATEMENT <br />Street tF <br />Street Name <br />A G AR TEV- VA AA <br />City <br />!jOGu lw <br />2. <br />NDERGROUNf1 TANK (MONITORING/REMOVAL) <br />❑ DOG KENNEL <br />❑ DAIRY <br />3. <br />HAZARDOUS WASTE GENERATOR <br />El CHICKEN RANCH <br />,- <br />'� <br />Unit 3 <br />4. <br />❑ MOTELIHOTEL <br />❑ PUMPER TRUCKJYARD/CHEMICAL TOILETS <br />❑ TATTOO/BODY PIERCING <br />5. <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ COMPLAINT RECORDS <br />unit a <br />6. <br />7. <br />Unit 6 <br />8. <br />9. <br />Uni <br />10 <br />Specific Date Range of Information Requested: From <br />_r%L AVAIL 4 B VE <br />_ to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ ROUSING ABATEMENT <br />❑ SOLI13 WASTE FACILITYNEHICLE <br />THEIR CLEANUP SITE (NON -LOP) <br />❑ FOOD FACILITY <br />© WASTE TIRE <br />NDERGROUNf1 TANK (MONITORING/REMOVAL) <br />❑ DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR <br />El CHICKEN RANCH <br />❑ WASTEWATER TREATMENT PLANT <br />IERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ PUMPER TRUCKJYARD/CHEMICAL TOILETS <br />❑ TATTOO/BODY PIERCING <br />❑ POOLISPA <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ COMPLAINT RECORDS <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RE,1nEw: MONDAY -FRIDAY 8,00 AM-5:00PM (EXCLUDINo HOLIDAYS) <br />1, List up to tan 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 M UST be selected. Fax to (20914640136 rar mall 60 the address indicated above. Address <br />ranges will not be accepted -tor additional asslstanoe with file addresses, contact the EHD. Applications received altar <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 ton (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 E?HD staff may not be immediately available for review. A new application may be <br />submitted when the the 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. <br />2f /!'w <br />