Laserfiche WebLink
10/22/2010 08:45 92574660�-"-- AEI CONSULTANTS PAGE 01/01 <br /> C�D SAN JOAQUIN CouNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEL464-0138 <br /> ARTMENT <br /> !1 2 2 2010 600 East Main St.Stock2-3029 <br /> 77 <br /> ENVIRUNNIE i HEA JT4phone: (209)468-34Q0 Fax: (209) eb: www.sjgov. rgleh <br /> �'� T V1 E: PUBLIC RE�RRS�ELP-LICATION — <br /> 3- <br /> 77 <br /> APPLICANT:,,,,yy��YJi _ BUSiNESSIAGENCY; <br /> ADDRESS: 25 Qm I nb Ia&l C1TYlSTATElZIP:�f t (J f` CQ.trk '�Rl SL[ <br /> PHONE(7): q� &-(Oao ; PHONE(2): (q - 4t0 (Ub�J FACSIMILE: (q2 �p 3 <br /> TENTATIVE*APPOINTMENT PATE: TImE: <br /> (Please ailow 10 business days from date of appiicatian s�bmfttal:-"TEnfafFvemUW W ca»firmed) <br /> L 1 CHECK BOX TD EXpEr)ITE RE $T:-$1-15 FEE C SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS OAYS <br /> SIGNATURE QF'APPLICAN Vrisr >}! e iy't DATE_ (D' -2—��O <br /> Electronic Information: ❑List❑Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street flame - <br /> City <br /> Unit1 <br /> 2 I A r- 4- t - <br /> (*iv 5 5 a X 9 5 4p c� unit 2 <br /> 5a <br /> 4. 6 � - � <br /> 5 .5Y? �i Unit a <br /> 7. R AJIa -4 <br /> 8. <br /> 9 L7 Unit 5 <br /> 000, <br /> Untt6 <br /> 5p>}cific Data Range of inron7lation Requested: From f;. fe <br /> ENYIRONMI�NTAL HEALTH DEPENT FiLES <br /> ®UKN ERGROUND TANK(I IST)CLEANUP'SITE(LOP) ,D HOUSING ABATEMENT SOLiD WASTE(:ACILrfYNEHICLE <br /> ®OTHER CLEANUP SITE(Nox-LOP) ❑FoOD FACILITY - WASTE TIRE <br /> UNDERGROUND TANK(M1iIWORINWREMOYAL) Ej DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATORCHICKEN RANCH WASTEWATER TREATMPLANT <br /> TIERED PERMFITED FACILITY ID TREATMENT PLANT <br /> MOTFUHOTEL- PUINPERTRUCKNARDICHFRICAL 7011.ET$ <br /> TATT00I601)Y PiERCNG El P00USPA LAND USE APPI.iGATION SITES <br /> ER MMIGAL WASTic FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvA'1LAS3LE FOR REviEw: MONDA -FRIDAY 8.00 AM-5:00PM(EXCLUDING HOLIDAY& <br /> 1. List uta W ten.addrpsss%in the space above. Select the type(s)of files frdm the list above by checking the appropriate <br /> box(es). At least one fife type MUST be selected. F 09)40"138 r m thpAddcasslinglicatedaboyo, Address <br /> ranges will not be accepted-for additional,assistance with vie addressss#,.contact the EHO. Applicatlons received after <br /> 3:00 pm will be processed the next business day.` <br /> 2. The EHD will notify';the applicant if any EHD fibs exist. An appointment f r review will be confirmed approximately ten(10) <br /> days atter receipt of application. The files will be held for a maximum of rve business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that 15 actively being worked on by EHD staff may not be immediate y 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 reorganize by 121-10 staff at the axpense of the,applicant. <br /> Future file reviews by the same applicant may require a S115 depo#it prior to reviow. <br /> 5. ff you need further assistance,please contact Diane Martinez,at(209)46 '3425. <br /> EHD USE ONLY <br /> AHD 48-66 - <br /> 8127(09 <br />