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Aug .25 '003 1 20PM , C# EARTH TECHNOLOGIES No 4748 P. I/I <br /> GATE AECHVEG Eno LOG Numaeft <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> U(� <br /> n � 5 C 1�.) 304 EAST WEBER AVENUE, FLOOR I �� <br /> I STOGXTON CA 95202202 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPL'CANT —p,1,LL l <br /> ADDRESS �'O V F Lt.O 5d <br /> PHONE FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE -t V TIME B et.w% <br /> (P`18 s0 give 7 to 10 business d from data of appli"tion submHfao <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FES- REQUEST PROCESSED IN 3 BUSINESS DAY:I <br /> SIGNATUREOFAPPUCANT DATE -Oj 3 4� <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> U!5 7 PR G E44NTS SEARCH - <br /> V <br /> r <br /> at + J <br /> 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ',s UNDERGROUND TANK(UST) CLEANUP SITE(LOP) Cl HOUSING ABATEMENT x soup WASTE FA.caj Y AUG 26 XO') <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORIN MF.EMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH C7 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPERTRUCK)YARDICHEMTOILEiS <br /> TATTOOIBODYPEIRCING ❑ PCCUSPA. - 0 LAND USE APPLICATIONSRES <br /> MEDICAL WASTE FACILITY PUBLIC <br /> ��WATER <br /> (SYSTEM ❑ OTHER(PLEASE SPECIFYA60VE) <br /> 1. List up to ten addresses in the space above./$eIe tthe types) of files from the Itst above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 12091 464-013a ar malito 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 files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immedlately available for review. A new <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 q I{rpr)QrK�rstfi�yYp <br /> 5. '"TENTATIVE appointment dates must be canfirmed with EHD staff. <br /> s. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />