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6�_ <br />12-10-'07 99;39 FROM-Err-FLOAIDA,LLC, 407-859-9599 T-897 P002/002 F-411 <br />DATE REC(EEivLD EHD LOG NUMBEF <br />SAN JOAQUfN COUNTY <br />IRE`✓ V �%f LD ENVIRONMENTAL HEALTH DEPARTMENT 2 <br />UEC2007 600 East Main Street, Stockton, CA 952023029 T <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd3Q3 <br />ENVIRONMENT HEALTH PTTTaT.TC RT.CnRnC RFIXARR APPLICATION <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal-'Tenta0ve only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST -$$990.00 FEE ( SH R CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DRAYS <br />SIGNATURE OF APPLICANT DATE <br />Electronic information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD .USE_ONLY . <br />Street eet# <br />Street Name <br />City <br />Unitl <br />fiZ ❑ <br />( q Umtz <br />_ <br />-- .__.... <br />2 <br />3. <br />—.., <br />4. <br />. <br />_._...-.....,.._...,....-.... <br />%XtVn1t3 <br />5. <br />6. <br />7. <br />8. <br />9- <br />10. <br />❑ Unita <br />Specific Date Range of Information Requested: From <br />m <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />IJNDERGROUNo TANK (UST) CLEANUP SITE (LOP) 13 HOUSING ABATEMENT M SOLID WASTE FACILITYNEHICLE <br />w� THER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 WASTE TIRE <br />eTC'UNDERGROUND TANK (MONITORING/REMOVAL)+"/ ❑ DOG KENNEL C) DAIRY <br />Cl HAZARDOUS WASTE GENERATOR 13CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY 0 MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br />• TATTOole ODY PIERCING 13 POOLISPA 0 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-5:00PM - 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 he selected. Fax to (209) 484.0138 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 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 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 $98.00 deposit prior to review. <br />EHD USE ONLY <br />f& <br />