Laserfiche WebLink
09/09/2004:::09:14 925283E AEI CONSULTANTS (-F) PAGE 01 <br /> SAN JOAQUnN COUNTY EHD LOG NUMBEI <br /> ENvmolvn'>ENTAL HEALTH DEPARTMENT <br /> SEP O 9 2004 304 E Weber Ave 3`1 Floor Stockton,CA 95205 <br /> (209)468-3420 Fax: (2,09)464-0138 Web;www_cosau joaquirLcaus/ehd <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES LIP,UBLIC RECORDS RELEAS/E�(AEPLICAT.'ION <br /> APPLICANT:^F_Y1Y1 SMA)1 t-� (+ },,BUSIINE„SS/AGEN'C'Y':_I LEI t�t>I�SI�TQ(�(��$ <br /> ADDRESS: 25no (... tn0 DI,,,tll-o 7lnTL a"oV ❑WAhOJ C(ef/11G CA <br /> PHONE: °1a5 A05 UO2 a FACSIMILE: -19`5, p�173 CQi pl <br /> a/� ” n5mil 1 TENTATIVE* DATE: {f Time: 10fY1 <br /> ev L`y n.1_/ I (Please <br /> allow 1L0business days <br /> ;�from <br /> 1date of application <br /> ,slsubmitta�q �I <br /> 4' y/`l� CHECK BOX O EXPEDITE REQUEST-$9 00 F EQUE8WROG S�LOUSINESS P YS��w <br /> SIGNATURE OF APPLICANT DATE 6'1 10q <br /> Department Use Onty <br /> FILE ADDRESS UNIT <br /> svee 3-r i& EaS{ cir, S n ❑ Unit 1 <br /> z. s 50,55- C, G c k G " ois5 <br /> s. such GI !Z S56 H -5, G us t 5( Unit 2 �'I 4 <br /> ✓✓ 4. s5eei n a ,' �iT f1 ES 00. 7 <br /> streetz4a55 LN;AsonWo N• City Unit 3 <br /> ✓✓ r, saae� 5y[n N. _W G " u 'f SCS Unit <br /> Unit5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(USI)CLEANUP SITE(LOP) �HOUSING ABATEMENT C <br /> SOLID WASTE FAC <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY C3 SOLID WASTE VE <br /> H E <br /> UNDERGROUND TANK(MONn"ORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ] HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ TATTOOIBODY PIERCING ❑ POOLISPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER[PLEASE SPECIFY) - <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be Held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A nem <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED ApBQINTMIENT DATA TIME <br /> DATE CONFIRMED: <br /> PHONE FAX'' INIT[R[S ' <br /> REVIEWED YES NO REVIEW DATE <br /> UFO"8 2406 <br /> NL(2009 ' <br />