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-\j Mar • 26. 2003 I OOPM CONDOR EARTH TECHNOLOGIES Na•3209 P . I/I <br /> PATE RECEIVES) 0 • IzRO LOG NUMBER <br /> F-''� SAN JOAQUIN COUNTYPUBL.IC HEALTH SERVICES <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 304 BAST WEBER AVENUE,THIRD FLOOR MAR 2 6 2003 srocicTON ca eszaz(208) 468-3420 I AD <br /> "7 <br /> ENVIRONMENT IiFALTH <br /> r�cznnrrl�FR��iC � PUBLIC RECORDS RELEASE APPLICATION <br /> _� _ <br /> APPLICANT, f�2�0. a' �rnxa..��Z. BUSINESSIAGENCY( <br /> ADOUSF <br /> PHONE _ LL FACSIMILE r� �j•-=rte?- �__ <br /> TENTATIVE'APPOINTMENT DATE TIME 1. <br /> (Please give T to 10 hmjnh=days from date of aPPIAC ion 9ohndt:-10 <br /> © CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-PfiQUEST PROCESSED IN 3 BUSINESS DAYS 14n Je q <br /> SIGNATURE OF APPLICANT DATC o_.�° 11 �G. 1III�3. <br /> FILE ADDRESS _ THIS Sl0 E lTil)STA1=1=USE ONLY <br /> PROGRAM FL EmEhn's SEARCH - <br /> A.l or o r% — Ota.-er -fo I 1 IJS PE _ <br /> e 2 _ w <br /> JA 14 Z e <br /> - - <br /> r <br /> la 1 <br /> 1P <br /> 02 l 00 1•--0.0^m Gr mat. S. —c-4_ N^ <br /> ENVIRONMENTAL_ HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) U HOUSING ABATEMENT SOUP WASTE FAinu-ry <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY Sd' SOU13 WAST-:VEHICLE <br /> UNDERGROUND TANK(MONITOWNCfREMOVAL) ❑ DOG KENNEL ❑ DAIRY' <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br /> C7 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PU14PI-R TRUCKIYARDICHEM TOILFr5 <br /> ❑ TATTOO160DY PEIRCING U PCOLJSPA - - ❑ LAND USE APP I.ICAPON SrnS <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER (PL `Iii:PECIFYA6OVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the Ik:C above by checking <br /> the appropriate box(es). At least one file type MUST be selected- Fax toL!09 464-0'138 e[rLnai tl,O tht <br /> address indicated above. <br /> 2- EHD will notify the applicant if any EHD files exist, An appointment for review wM be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The Cites. <br /> will be held for a maximum of five business days far review. Appointment.; should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avaliaiale 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 deposit prior to row'Tw. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EIiD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> r1ATF Cr1NCI0MI"il nunu❑ �Av re�rri� e• <br />