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Au8 .28 . 2003 9 164 CONDOR, EARTH TECHNOLOGIES � � No • 4816 P - I/I <br /> OAT EMO LOG NUMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> v ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 2003 304 EAST WESERAVI~NUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEAD FI (209) 4U-3420 <br /> PERNAIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTYILJrf�� v� �j�0 ]� 1e <br /> AID 0RES5 <br /> PHONE <br /> TENTATIVE`APPOINTMENT DATE aO0?i nME a I` <br /> (Ple"a give 7 to 10 business days"m date of application submittal) <br /> y% CHECK BOX TO EXPEDITE REOU - 87.aO FEE-R QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> �w�� ag D h <br /> FILE ADDRESS _ THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> a _ � <br /> 8 <br /> O <br /> gig <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL C3 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0CHICKEN RANCH ❑ PKG TREATMENTPLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOOISODYPEIRCING El POOLISPA 0 LAND USE APPLICATIONSITES <br /> Y MEDICAL WASTE FACILITY III PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFYABOVE) <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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />