Laserfiche WebLink
1012112010 16:45 Advanced C — viromental Inc. <br />#)209 4871118 P.0011001 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />OCT L 1 L010 600 East MOM St. Stockton, CA 95202-3029 <br />Te oL�e: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjl <br />ENVIRONMENT H ��TBI IGI Ir+ oornone ori epee Anot IrA?I <br />EHD LOG NU ER <br />r <br />�3 <br />ADDRESS: 95'q- Skew ;A W U:,s jj 7.§1TATEMP: 16 <br />PHONE111):207—Y(eq-006 PHONE(2): 2(j"Q-Nk3-3kn/ FACSIMILE: LOq-yt/p�-/IIK <br />TENTATIVE -APPOINTMENT DATE:A<An Time: <br />(Please allow 10 business days from a of a pllCAtlon submittal - "TentaM only - moat ba oonfirmed) <br />CHECK BOX TO EXPEDITE REQUEST �1 EE (CC H,�,R CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OFAPPUCANT Of/C�1yV `•� DATE A'u–l+o <br />Electronic 1mbrmatlon: <br />❑ List ❑ Map–Descilption: <br />Street# <br />FILE ADDRESS <br />Street Name <br />City <br />END USE ONLY <br />0 Unit 1 <br />1. <br />2/ <br />�arf <br />Wcb� e <br />ck <br />Ca.uSi <br />It2 <br />2. <br />304 <br />h <br />alts <br />4. <br />2$5 <br />" <br />S.x3$(7 <br />v <br />I <br />tr <br />It <br />A z-19 <br />tj�..,�_, nit4 <br />8. <br />7. <br />2.I ,T t7 <br />II u <br />Z OG�7,UJ <br />❑ unit 5 <br />5. <br />g. <br />8 <br />10. <br />Specific Dole Range of Information Requested: From ati', _ to )� <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES Ip f f P—S <br />$� UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ® SOLIDWASTE FACILITYNEHICLE ('„ <br />O OTNER CLEANUP SITE NON -LOP) ❑ FOOD FACILITY [9 WASTETIRE wn 41 / . <br />r� UNDERGROUND TANI�dONROR11 awtmOY ❑ DOG KENNEL ❑ DAIRY fc)2V -(0 <br />HAZARDOUS WASTE 06ERA CHICKEN RANCH [ WASTEWATERTHEATMENT PLANT <br />a i <br />TIERED PERMITTED F ILITY �''--`u' V EL [IPUMPERTRUCU/YARDICHEMICALTOILFS <br />1 TATTOOIBODY PIERCING ` `' $ ElLAND UsEAPPLIOATiON SITES <br />MEDICAL WASTE FACILITY 06E�r,,tt LFASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILAELE POR REVIEW: MONDAY�FRIDAY 5:00 AM-6:OOPM (EXCLUDING HOLIDAYS) <br />1. List uo to ten addresses In the space above. Select the typo(s) of Nies from the list above by checking the appmpriats <br />box(es). At least one file type MUST be selected. Fax to (208) 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 flies exist. An appointment for review will be confirmed approximately ton (10) <br />days after receipt of application. The filea will be held for a maximum of five bualneaa 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 now application may be <br />submitted when the file Is available. <br />4. Any Nle 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 $122 deposit prlorto review. <br />LRD 1.199 ONLY <br />MwmilLvmg ,1AVAI y�i�6 y��5.►�I IriI r ��_,i .�,�al I w/,.. / M <br />�_ 41fiia�l`[V�I�a -roti o <br />-IrampitilLEWA t r.1.I�Mi i .a .i.... 0 /J I. <br />CHO 4446 U,,,ra,U <br />0 <br />�odl <br />