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MAY -26-2009 15:15 I Tetra Tech, Inc. 415 974 5914 P.02 <br />DATE RECEIVED <br />T <br />APPLICANT: nim - <br />ADDRESS: 5 D <br />PHONE (1): 5 '5 <br />TENTATIVE" AP <br />(Please allow' <br />Q CHECK BOXTO F-XPE <br />SIGNATURE OF APPLICAt <br />EMD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />(209) 468- 0 Fax: (209) 4640138 Web: vlrww.sjgov.or <br />Li <br />CbR£� RELEASE APPLICATION q3D <br />eA : 7 6,6'_ BUSINESSIAGENGY' T� SCS T� L 11 <br />cltymweaip !, s. �yo' 1(. C, cc 410' <br />' 2_ (%ei( PHONE (2i: 4j J r114 lZ-�(. � /i10 FAC3UMILE: -1 <br />IINTMENT DATE: �� 1�, Do, limo' Q171 <br />business days from date of appl(catlon submittal -'Tentative only - must be confirmed) <br />Tr__ <br />REQUEST • S i�OR CHECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br />DATE "5i -5A() <br />Electronic information: <br />List ❑ Map— Description: -- <br />UNDERGROUND TANK (UST) CLEA <br />UP SITE (LOP) <br />O HOUSING ABATEMENT <br />9 SOLID WASTE FACIL/TYIVEHtCLE <br />FILE ADDRESS <br />EHD USE ONLY .._...____._.__. ... <br />0 FOOD FACILITY <br />sheat <br />Street Name I _ -- city <br />U 1 <br />DOG KENNEL <br />DFtRY <br />I a <br />Z <br />0 CHICKEN RANCH <br />WASTEWATER 7�£ATMPNT PLANT <br />X TIERED PERMITTED FA(-'iLj YX <br />it z <br />3 <br />I <br />i <br />Unit 3 <br />LANE, USE APPUr ATION SITES <br />MEDICAL WASTE FACILITY <br />4. <br />WELL AND $EPMC PLR41T RECORDS ARE AVAILAIALF FOR RJCVIrW - MONDAY -FRIDAY 8:00 AIA-6:OOPM - EXCLUDING HOUDAYS. <br />5' <br />Unit 4 <br />l <br />� <br />7. <br />l <br />❑ Units <br />Unit 6 <br />10. <br />? <br />I <br />Specific Date Range of <br />Requested: From I `� GC to rz'n -n <br />� ��s �Or <br />b1 q ID1 <br />1. List up to ten addresses in a space above. Select the type(S) of files from the list above by checking the appropriate <br />box("). At least one file ty MUST be selected. Fax t4 (209) 484-0138 or mailig the addn�s in icated above-_ Address <br />ranges will not be accepte —for additional assistance with file addresses, contact the EHD- Applications received after <br />3:00 pm will be processed a next business day, <br />2. The FHD will notify the app icant it any END files exist An appointment for review will be confirmed approximately ten (10) <br />days after receipt of appit tion. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled aCCor ingly. <br />3. A file that Is actively being Axed on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file isaliable. <br />4. Any fine not returned in theame condition as released Wlll be reorganized by END staff at the expense of the applicant - <br />Future file reviews by the 7nne applicant may require a $105 deposit prior to review. <br />EHD USE ONLY <br />Oaoz3�� �n060 g c�,�o�y��3, c�©L�K� 4 c000O�Y4 <br />Ei�4108 / P ELIC REGOROS�E APP r R <br />�0 DDO(oy 12, .�poo(o(0(8, (,OO�o lO 90(o ( W00915� qf, Doo wq,,k000/11-1 Si lAD� 7Zx7 <br />I,pDDI ts2(��j (poo lotl�!%I (AtD0l4S9�t i�002D3Z4! coD� u� I l.0©DLS�{cl(of �;U2333�, <br />�r �Za�SI TOTAL P.02 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEA <br />UP SITE (LOP) <br />O HOUSING ABATEMENT <br />9 SOLID WASTE FACIL/TYIVEHtCLE <br />M OTHERCLEANUP SITE (NON -LOP) <br />0 FOOD FACILITY <br />M WASTE MK <br />(� UNDERGRGUND TANK (MOHITORI <br />,Si <br />RemovALW <br />Tom\ <br />DOG KENNEL <br />DFtRY <br />HA2ARC0115 WASTk GENERATOR <br />0 CHICKEN RANCH <br />WASTEWATER 7�£ATMPNT PLANT <br />X TIERED PERMITTED FA(-'iLj YX <br />❑ MOTEUHOTEL <br />O PumPER TRUCKIYARDICHEM TOILETS <br />Q TATTOO/BODY PIERCING <br />M POQUSPA <br />LANE, USE APPUr ATION SITES <br />MEDICAL WASTE FACILITY <br />O OTHER (PLEASE SPECIFY) <br />WELL AND $EPMC PLR41T RECORDS ARE AVAILAIALF FOR RJCVIrW - MONDAY -FRIDAY 8:00 AIA-6:OOPM - EXCLUDING HOUDAYS. <br />1. List up to ten addresses in a space above. Select the type(S) of files from the list above by checking the appropriate <br />box("). At least one file ty MUST be selected. Fax t4 (209) 484-0138 or mailig the addn�s in icated above-_ Address <br />ranges will not be accepte —for additional assistance with file addresses, contact the EHD- Applications received after <br />3:00 pm will be processed a next business day, <br />2. The FHD will notify the app icant it any END files exist An appointment for review will be confirmed approximately ten (10) <br />days after receipt of appit tion. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled aCCor ingly. <br />3. A file that Is actively being Axed on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file isaliable. <br />4. Any fine not returned in theame condition as released Wlll be reorganized by END staff at the expense of the applicant - <br />Future file reviews by the 7nne applicant may require a $105 deposit prior to review. <br />EHD USE ONLY <br />Oaoz3�� �n060 g c�,�o�y��3, c�©L�K� 4 c000O�Y4 <br />Ei�4108 / P ELIC REGOROS�E APP r R <br />�0 DDO(oy 12, .�poo(o(0(8, (,OO�o lO 90(o ( W00915� qf, Doo wq,,k000/11-1 Si lAD� 7Zx7 <br />I,pDDI ts2(��j (poo lotl�!%I (AtD0l4S9�t i�002D3Z4! coD� u� I l.0©DLS�{cl(of �;U2333�, <br />�r �Za�SI TOTAL P.02 <br />