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DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> O ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708v <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd O <br /> (y� PUBLIC3 <br /> E <br /> QRECORDS RE, APPLICATION <br /> APPLICANT: 1 � ck e _ .J BUSINESS/AGENCY: <br /> ADDRESS: I <br /> /O (n i S A -Vc J �-� ( <br /> PHONE(1): PHONE(2): <br /> FACSIMILE: 7 <br /> TENTATIVE'APPOINTMENT DATE: - Time: <br /> (Please allow 10 business days fr too p !cation submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ F (C CN€GKFONLY).REQUEST PROCESSED 1 USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE — IJ7 <br /> Electronic Information: ❑ L(st❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a Street Name <br /> City l.IST� �� ❑ Unit 1 <br /> 2. <br /> ❑ Unit 2 <br /> 3. <br /> 4. <br /> unit 3 Po <br /> 5. <br /> 8. Unit4 <br /> T. <br /> 8. N l 8 2007 ❑ Unit 5 <br /> 9. <br /> 10. - -❑ Unit 6 <br /> Specific Date Range of Information Requested:From to 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 41 <br /> ,UNDERGROUND TANK NST)CLEANUP SITE(LOP) 13HOUsING ABATEMENT ❑SOLID WASTE FACUAEMCLE 1 <br /> )t❑OTHER CLEANUPSITE(NON-LOP) ❑FOOD FACILITY _ <br /> 1NDERGROUND TANK(MONITORING/REMOVAL) 13 WASTE TME <br /> ❑DOG KENNEL ❑DAIRY <br /> E3 TIERED PER WASTE GENERATOR 13 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED PIERCING <br /> FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKtYARD/CHEIA TOILETS <br /> O MEDICAL WASODY E F CWG - ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 6:00 AMS:ooPM - EXCLUDING HOLIDAYS. 'o <br /> 7Th <br /> en addresses in the space above. Selebove b checkin the a teast one file typeMUSTaselected. Fax to 1209)484-0138 oil taddress Indicated aboveroAddressnotbe accepted—foradditional assistae EHD.Applications received after llbe processed the next businessday.ill 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$95.00 deposit prior to review., - <br /> EHD USE ONLY <br />