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Apr . 9. 2003 3:22PM CONDOR EARTH TECHNOLOGIES Nu . ',059 P . 1/1 <br /> DATE IIECEIVED . PNO LUG NUMBER <br /> �o a SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> V n}F(_� ,F � ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> APR 0 9 2003 srocicron CA 95202 <br /> 0(209)46B420 <br /> R 35 <br /> r-NVIRONMENT HE ELIC RECORDS RELEASE APPLIC)N TION <br /> .�.... <br /> APPLICANT euswessmrENCY 60'Vi"-04- • 1V o�D�I�Lr_J <br /> ADDRESS,�,�IBa Fir l(L Wssz CnxcAL.6, SulrL- I-- �c_;e-IzN, G! 'Fs-20"",PHONE KSI 13`i•• 0913 FACSIMILE. ZDR 0 T 3 g <br /> TENTATIVE'APPOINTMENT DATE (Vfo3 TIME /b•n O g7tiL - _'�(7-� �"' � <br /> (Please give 7 to Id business days from date of application subleitial) h <br /> CHECK Box TO EXPEDITE REQUEST-SX.00 FEE-REQUEST PROCESSED IN S BUSINESS DAYS �•I •+VQI �I <br /> SIGNATURE OF APPLIC DATE `j O 3 <br /> �m <br /> FILE ADDRESS THIS SIDE EHD STAFII VSE ONLY <br /> PROGRNM ELEMENTS SEARCH <br /> i 5U32_ S- GL Do u I <br /> 3!10::E s- 4L- o v v <br /> 3 '3 - ---- <br /> l <br /> 3 z 4 Ell! ' <br /> Z814-4- N 2 STY-gir S " <br /> zJ0 D S. Fm A <br /> Nl& b <br /> QAI.i FOX" A u <br /> Z405, S. Po <br /> 3q 5. $ gnna — 1 <br /> 3k3 a w - W o ups �VeG <br /> ,,,{ ENVIRONMENTAL HEALTH DIVISION FILES <br /> *,UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ NOW-ING ABATEMENT ,wSOIJD WASTE I5,WILnY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTF-'meteCLE <br /> P3.UNDERGROUND TANK(MONITORINGMEMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> 9 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATNIENT PLANT <br /> f� TIERED PERMITTED FACILITY - ❑ MOTELIHOTEL ❑ PUOIPI'_R TRUCICYARDICHEM TOILETS <br /> ❑ TATTOOBODY PEIRCWG ❑ POOUSPA "• 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) _ <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the Ila above by checking <br /> the appropriate box(es). At least one file type MUST be selected, fwx t 209 464-0'038 or_mail the- <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The filers <br /> will be held for a maximum Of five business days for review. Appointment::should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />