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DA <br /> RMp�VEI SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> EI1ORONMENTAL HEALTH DEPARTV`NT <br /> .15 2009 600 East Main St. Stockton, CA 95202-2708 <br /> ENVIRONMENTMETRIE>��P,n,: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.or <br /> 4Mq <br /> PERMITSERZ,ES PUBLIC RECORDSRELEASEAPPLICATION <br /> APPLICANT: ,J J BUSINESS/AGENCY: <br /> ADDRESS: CITY/STATE/ZIP: <br /> PHONE (1)• Q PHONE(2): FACSIMILE. <br /> TENTATIVE'APPOINTMENT DATE: `�[L_ Q ) ' 9� i 3 � + � ITime: 47 <br /> (Please allow 10 business days from date of application submittal-•Tentative onl -must be confirmed) <br /> ❑CHECK BOX TO EXPEDITEQUEST-$115 3 00 F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN BUSINESS DAYS <br /> SIGNATURE OF APPLICANDATE t IfTllnc) <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> AUInit <br /> 2. <br /> 3. <br /> S. ❑Unit 3 V <br /> ❑Unit 4 <br /> 7. <br /> 8. <br /> _ ❑Unit 6 <br /> 9 ve(6 ' '(amu fO ch", e, mo 9quubtd, <br /> 10. Pite5 f 01 be, FeViewea m.'A- N are4nnh <br /> it lel ❑Unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑SOLID WASTE FACILfIYNEHICLE <br /> ❑UNDERGROUND TANK(MONITORING/REMOVAL) E)DOG KENNEL WASTE TIRE <br /> ❑HAZARDOUS WASTE GENERATOR DAIRY <br /> ❑CHICKEN RANCH_ [],WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL L�PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA <br /> F] MEDICAL WASTE FACILITY ❑LAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one rile type MUST be selected. Fax to(209)464-0138 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 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$115.00 deposit prior to review. <br /> EMD USE ONLY <br /> ***If you need further assistance please contact Diane Martinez direct) @ (209)468-3425. Thank You*** <br /> Pwn IMJIC ' <br />