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�2 Mar ,26. 2003 I : OOPM CONDOR EARTH TECHNOLOGIES JzUU r • <br /> PATE IMCET"M 1710 LOG NU..E t <br /> SAN JOAMIN COUNTYPUBLIC HEALTH S&ZVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 2 6 2003 304 Eg57 vYESt R AVENUE, THIRD FLOOR I �w <br /> STOCKTON OA 95202 r`/J' <br /> "7 <br /> (208) 468-3420 <br /> ENVIRONMENT HFALTH PUBLIC RECORDS RELEASE APPLICATION <br /> RFRua-'SFB\,IGF` •-- _ <br /> APPLICANT,Y��L_t' � ��n�:�` c_euSINE'swA"GENCY C-1� nJ rx-- iG�ra2n,--�I(�? �(� <br /> PHONE FACSIMILE <br /> TENTATIVE'AppoINTMENT CUTE S ri1irf l 000 3 TIME c`. D g-vy'- <br /> (Please give 7 to f0 husinliss days from date of application sutunIE.10 <br /> CHECK BOX TO EXPEDITE REOUESY-$87.00 FEE-YOUEST PROCESSED IN 3 BUSINESS DAYS � <br /> SIGNATURE OF APPLICANT DATE <br /> 6 <� <br /> FILE ADDRESS _ THIS 31DE THD STA1=1=USE ONLY <br /> PROGRAu F_IEmrbn S SEARCH <br /> 14 ,;T- ----I- " <br /> 1404� C,pAl or o r% — oL T To nes PE _ <br /> e 2 Pn <br /> C or <br /> V Lot <br /> If <br /> r <br /> V 9-0 E7 s� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSWG ABATEMENT SOUL WASTE FACLLITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY )V SOUR WASTE VEHICLE TT <br /> )7J UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL ❑ DAIRY' <br /> �( HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PE"n7EA FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYAROICHEM TOILETS <br /> ❑ TATTOOTBODY PEIRCING ❑ PCOLISPA ` • ❑ LA240 USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEaa ❑ oTHETt(PLEASE..:PECIF(AbOVE] <br /> 1. List up to ten addresses in the space above_ Select the type(s) of files from the litic above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to_C4 464-0'138 O4 1l to th9- <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. Appointment.i should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be Immediately avallaole 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 zI$37.00 dlepl)sit prior to rovarw. <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 /> ne'rcrnmcupur;n nun&.c <br />