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2 . 2002 4:06PM COND9ARTH TECHNOLOGIES No. 1895 P - 1/1 <br /> F LOG N mad <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES io <br /> ENVIRONMENTAL HEALTH DIVISION � [ ���[ ��� <br /> ' O 304 EAST WE5ER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 NOV 1 2 2002 <br /> (209)460-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION P4VIhUNMErvr FIFg <br /> ,,nnAFP !T/SERVICES <br /> irA <br /> APPLICANT IC- ,; nA�,QL- "(VE'(T6 _BUSINESSfAGENCYCNObR � A <br /> � %CHNOL0441c- �• <br /> ADDRESS I R B FlAtN1-VJC-ST-61LCLE c SU\16J— - <br /> PHONE ZD9— FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE TIME <br /> UU (Pleas give 7 0 b'T,�y`�s days am to of application submlita�(] <br /> CHECK BOX TO EXPEDITO�E .De F iIL'gU�T PROC SSED IN 3 BUSINESS D.4p®IRUNMLNT HEALTH <br /> /1 ,r PERMIT/SERVI ES o� <br /> SIGNATURE OF APPLICAN T DATE z <br /> FILE ADDRESS THIS SIDE EHD STAFF 115E ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> --3 DO CAW Fo - <br /> 944 <br /> S: a <br /> ! C� I <br /> lA <br /> 2�Ln^+ AN4 <br /> fthz6u E. <br /> NOV <br /> S n1 --so v v <br /> 3 Su ST.' <br /> 494 S. wC-oR-P(h Sr <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 21'SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NOWLOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ja TIERED PERMITTED FACILITY ❑ MOTELIHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> n TATTOO/BODY PEIRCING ❑ POOUSPA '- ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 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$87.00 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 /> 10ONFiRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />