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SEP. 19. 1003 10:04AM CONDOR EARTH TECH N0. 0 10 2 EHIP. .1 NUMBER <br /> MATG REC6N6O _ <br /> $AN 30AQ[3IN COiT1+lTy <br /> li i� � �J <br /> L ,IL .;;1�=��'„ E1vVmorTMENT $�AI.zHDEPARTM�lt`rJC <br /> ' 304 E Weber Ave 3'd Floor Stockton, CA 95205 I <br /> SEP 1 9 2003 (209)468-3420 Fax: (209)464-0138 Web:www.cor.san joaquin.ca us/-"' <br /> .NVIRONMENI HEALii <br /> PERtvh,)a . I tPUBLIC RECORDS RELEASE APPI.TCATION <br /> APPLICANT:,.SuZANnfA C'OT'I"DA) BUSINESS/AGENCY: CONDOfi CA��H 4Al9fi, y L. <br /> ADDRESS: 188 FraNlc Wcst C;rcl� , Sir+c k Sroc�cron CA asaacF I� <br /> PHONE: (ac)l/ 2 3 yS FACSIMILE: (2e>9) 2 '5'4- Os3 R <br /> TENTATIVE'APPOINTMENT DATE:,a0-I±VM6e• aqi• 01 05 Time: IQ' 00 a.rn• <br /> (Please allow 10 business days from date or application submittal) <br /> 2003 <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST <br /> jPROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE q-19-03 <br /> Department Use Oniv <br /> FILE ADDRESS UNIT <br /> t. suer 30 C ex1r4c AOCXibvT ❑ Unit <br /> 3. Strep p <br /> ]. SveN Unit `�• <br /> A. svw CRY ILIJ 2, <br /> s. sweet a Unit 3 t 1( <br /> 6. SUeet �' <br /> 7. Street O Unit4 - <br /> 6. SVeel p <br /> e. swot a _0 �UU3 ❑ - Unit 5 <br /> m. sweat <br /> city1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOUD WASTE FACILITY <br /> -OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SCUD WASTE VEHICLE <br /> ,12Z UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLEAT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOIBODYPIERCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTEFACIUIY ❑ OTHER(PLEASE SPEC] <br /> FY) <br /> 1. List Up to ten addresses in the space above. Select the type(s)of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)4640138 or mail to 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 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 immediately 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$93.00 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 /> REVIEWED YES NO REVIEW DATE <br /> Qm e6O2-066 <br /> eN1001 <br />