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Mar .31 . 2003 5:33PM COR EARTH TECHNOLOGIES No.F219 P . 1/1 <br /> � EIW 4,OG NUMNER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 1 '2003 304 EAST WEBERAVENUE,CA 95202THIRD FLOOR � AN STOCKTgN CA 95202 <br /> E�NIR.ddi�4f=iJl HEALTH . (209) 465-3420 <br /> PEaN'111- SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT��(y , nggJ ,�,BUSINESS/AGENCY <br /> ADDRESS lea U�� sk 0 j <br /> PHONE ,, I£�—_ FA03WLE <br /> TENTATIVE'APPOINTMENT DA-1711 TIME03(76T(e <br /> (Please give 7 to 10 6ucinecs days Rnm date of aPPlicaUon sub!rleraQ , ;(j, A <br /> 4 <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS U r <br /> SIGNATURE OF APPLICANT _ DATE <br /> FILE ADDRESS THIS SIDE i:HD STAFF U3E ONLY aw <br /> PROGRAM ELEA1OM SEARCH <br /> 44LA 9-7 <br /> 5'9D ry iC• /l'ILl�s]._5/-1'ee�' �� � �_. -<�•�? _ <br /> - <br /> 1 _ <br /> • � 5 <br /> 5 re o < <br /> U)ic ' - <br /> �il�r w[ <br /> �I <br /> X60 > it - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,r7/UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT I sauv WASTE FAd0ry,• <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY )P�SOI.ID WASTE VEHlPK,i <br /> ,0' UNDERGROUND YANK(MONITORINGIREMOVAL) ❑ DOG KENNEL AIRY <br /> HAZARDOUS WASTE GENEC1 RANCH ❑ <br /> KG TREATMENT PLANT _ <br /> p TIERED PERMITTED FACILrrY ❑ MOTEUHOTF-L ❑ PUMPER TRUCN/1'ARDICHEId TOII.E-�5 <br /> ❑ TATTOO/BODYPEiRciNG ❑ POOLISPA - - 0 LAND USE APPI.XATIONSITE-3 <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OT11E9i lPLEA5F.!SPECIFYA9OVE) <br /> I. 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 2LOS 464L0138 or mail tP 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 fik's <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. Anew <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 /> CONFIRMEqAPPOINTMENT DATE TIME T <br /> narp rnuclolucn <br />