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05/26/05 THU 13:40 FAX 415 8 `"" 9475 PES ENVIRONMENTAL (lo; <br />EHD LOG NUMBER <br />DATE RECEIVED SAN JOAQUIN COUNTY <br />ENVIRONMENTAL TH DEPARM95 <br />NT <br />304 Bast Weber Avenue, 3d Floor, Stockton, CA2-2708 <br />79V <br />QQL�Y 26 PH V11one: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />BUSINESSIAGENCY: <br />ADDRESS: ILD ®v <br />PHONE (1): <br />46_- g�q -1(0�_ PHONE (a): FACSIMILE: �'I'✓' <br />Ties: <br />TENTATIVE" APPOINTMENT DATE: bmlt re ve only - must be confit ii <br />(Pw" allow 10 business days <br />O CHECK 90X TO EXPEDITE REQ EST. 93. CK VEST PROCESSED IN 3 BUSINESS DAYS <br />DATE <br />SIGNATURE OF APPLICANT <br />• 5�2iD 1 of <br />'I <br />UNIT DtSTR1auTK)N <br />® Unit 1 O Unit 2® Unft 3 O Unit 4 O Unit 5 L -I Unit a® other (electroniclfistm"ps) <br />eu c Anr►T2FS-S EHD USE ONLY <br />Sweat eT �— Street t <br />- — to <br />Specific Date Range of Information Requested: From <br />4 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />at p 0— — WASTE FACILITY)VF!nCLE <br />b�b <br />C> <br />LN <br />ROUND TANK (UST) CLEANUP SITE (LOP) 0 HOustmo ABATEMENT AD Ali <br />❑ yY„S, a TIRE <br />CLEANUP SITE (Ni ® FOOD FACILITY O DAIRY <br />D TANK ( NOIREMOVAL) ® DOG KENNEL 13 WASTEWATER TREATMENT PLANT <br />❑ CHICKEN RANCH <br />OUSWASTEGENERATOR Q MOTELIHOTE. ® PUMPER TRUCKIYARDICHEM TOILETS <br />PERMITTED FACILITY p POOLISPA ® LAND USE APPLK:ATKIN SITES <br />O TATTOOIBODY PIERCING ® OTHER (PLEASE SPECIFYi <br />O MEacAL WASTE FACILITY <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FtNt REVIEW - WIONDAY•FRUMY B:eO AM-6:OOPM ' ExCLUOMO HOLIDAYS., <br />s of files from the list above by checking the <br />1. List up to ten addresses In the space above. Select Che type( ) <br />appropriate box(es). At least one file type MUST be selected. Fax to 120 9) 464.0138 or mail to the address <br />indicated above. Address ranges will not be accepted — for additional assistance with file addresses, contact <br />the EHD. Applications received after 3:00 .pm will be processed the next business day. <br />2. The EHD will notify the applicant If any EHD files exist, An appointment for review will be confirmed <br />approximatelyten (10) days after receipt of applfoacc TdITi 11estyN'ili be held for a maximum of five businessft <br />011 <br />days for review. Appointments should be scheduled lqrww <br />3. A file that is actively be�workedwhen the by HD available not be immediately available for review. Anew <br />application may EHD staff at the to <br />4. Any fits not returned in the same <br />the Sam®n as e applicant may Il be require a $93.00 <br />eposit prioro review. n� of the <br />applicant. Future file reviews y <br />EHD 4142.008 <br />1114M <br />