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Apr . 9 . 2003 3: 22PM CONDOR EARTH TECHNOLOGIES No 'm 9 P . 1/1 <br /> Oare nEcavm _ <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> exo�ocNc�+s�a <br /> V In FE(C I'EINI�[D) ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR IR35 APR 0 9 2003 STOCI(TON CA 95202 <br /> (209)468420 <br /> : 3 <br /> WWONMENT HryEA ELIC RECORDS RELEASE APPUCXfION _ <br /> APPLICANT TIZ BUSINESS/AGENCY GONA•p� FA?T Tt ,•1VdLe4/L�s <br /> ADDRESS 1�0`60, FrAme- VL1rs7- ngc,-61 Sri r� I- Svl,-..tt r, , CQ 9S'2v l - <br /> PHONE FACSIMILE" Z01 a 3 g . 0 5 3 B <br /> TENTATIVE-APPOWTMENTDATE 41(do-i TIME <br /> (Please give 7 to•i busies ness days from date Of application subieH.lal) <br /> �. CHECK Box TO EXPEDITE REQUEST-f .00 FEE—REQUEST PROCESSED IN 3 BUSINESS GAY"S LA� • �I �I <br /> �I <br /> SIGNATURE OF APPLICAN Y n.^ - 1— DATE 9 0 3 <br /> FILEADDRESS THIS SIDE EHD STAJ-F USE ONLY <br /> PROGR4M ELEMENTS SEARCH <br /> 3057- S. GE Po O I (� <br /> e- ;PRTZAD kj Ell! <br /> 314z 4 , <br /> 2 8 4 N 2 Stv Es 5 �_- <br /> z o S. W <br /> I z50b S. Rw A v 7 p - <br /> Z 5- S. Po g <br /> 3q s. p{i 1$ 20D3 - <br /> ?43 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP sn-E(LOP) M HOUSING ABATEMENT SOLID WASTE FASULrrY <br /> p OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACULTY - ❑ SOIJD WASTE YSUCLE <br /> m,UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL - 0 DAIRY <br /> �t HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TIZEATMENr PLANT <br /> 9 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUPIPE.Ii TRUCIVYARD/CHEM TOILE'I:i <br /> ❑ TATTOO/BODY PEIRCMG ❑ POOUSPA "• ❑ LAND USE APP L1CATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM 0 OTFIER(PLEASE SPECIFY ABOVE) _ <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the ILi above by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to 208 464_0138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD fifes 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 held 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 Pmmedlatoly 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 S87.00 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 /> t;ONFIRMED APPgiNTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />