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k07 - 28. 2003 9 : I6A1 CO 'PN EARTH TECHNOLOGIES H0 . 481 0 <br /> 4'M <br /> IVSTI VER ENO LOG NUM6ER <br /> , SAN JOAQUIN COUNTYPUBLIC HEALTH SEIP;7ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 2003 304 EAST WESER AVENUE,THIRD FLOOR I <br /> STOCKTON CA 95202 <br /> NVIRUNMENT HEALTH (209) 468-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE <br /> APPLICATION <br /> APPLICANT�, � q n � SUSINESSIAGFNCY Qa <br /> ADDRESS V�V S�� <br /> LC)-8-'SA r_; rCk�) -s-���- <br /> PHONE � �-) -FACSIMILE "<perbapl� <br /> TENTATIVE''APPOINTMENTOATE p2 S)-,QtC200 TIME <br /> (Please give 7 to 10 busjness days from date of application submittal) <br /> y��/1s�7�CHECK BOX TO EXPEDITERE - �87y00—FEE-R QUESTPROCESSE13 IN 3 BUSINESS DAYS 1� �� 1�{. -J S� <br /> SIGNATURE OF APPLICANT DATE D �'`I <br /> ��j(.j l <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> O11 <br /> a <br /> O O <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENTSOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINCMEMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH Q PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY C3 MOTELIHOTEL C3 PUMPER TRUCKIYARD/CHEM TOILETS <br /> TATTOCIBODY PEIRGNG ❑ P6CLJSPA ` - 0 LAND USE APPLICATION SITES <br /> Y MEDICAL WASTE FACILITY er 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 tar 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 END 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 /> t <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />