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Mar . 31 . 2003 5 :33PM CONJ EARTH TECHNOLOGIES �o:<279 P I/I <br /> .iw LOG N01MER <br /> �tll :• <i =,I! /I_:,I �, SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 1 '2.003 304 EAST WEHEKTON CA 95202 THIRD FLOOR AN <br /> STOCK7gN CA 95202 <br /> EPlVIRofv if_NT tTEALTH . (209) 468-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT— X41.�.._Z HUSINESSIAGP�ICY,� •C- �C nC7 1"�,j <br /> ADDRESS ,V� � U�-SA 0.l�__� a I - <br /> PHONE r Imo_ FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME _ --U-G-`J3(7cf''//""'yy�c) <br /> (Please give 7 to 10 bus;nev days 4om date of application subMWAI) , \\\ <br /> CHECK HOXTO E(PEnrm REQU�EST�-u7.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAPS U n, n <br /> SIGNATURE OF APDL(CANT --:Pz — Ai'�_� _ DATE <br /> FILE ADDRESS THIS SWE i:HD STAIF,F USE ONLY <br /> If <br /> PROGRAM ELEME? RS SEARCH <br /> 57 <br /> ioi�3 5• i ol/ -- <br /> � l 5 <br /> 5 re o "O I El — <br /> V� <br /> y/ /�CVV • 1q <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACT'!. rX, <br /> OTHER CLEANUP srrE(NON-LOP) ❑ FOOD FACILITY �SOUD WASTE VEHi�,i <br /> ,a( UNDERGROUND YANK(MOMTORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> Jil HAZARDOUS WASTE GENERATOR CI-CHICKEN RANCH KG TREATMENT PLANT <br /> p�TIERED PE.R0IDTED FACILITY ❑ MOTELIHOTEL ❑ PUMPi-R TRUCPJI'ARDICHEN TOILET b <br /> 0 TATTOOIBODY PEIRCING LT POOIlSPA ' ' ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUCUC WATER SYSTEM 17 OTH6Z TLEASF.!SPECIFYASOVE) <br /> 1. List up to ten addresses in the space above.. Select the type(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209)44LJ4 or mail the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist, An appointment for review will by confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The Rl 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 an by EHO 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 /> CONFIRMED APPOINTMENT DATE TIME <br /> � Y-1-o3'. (etI me55;a �v 6 i � �a cl s $; ()Sari') <br /> IIAYP(1.nK 1oMFrl nunuc vwv "I".. e• <br /> Gt -(_�i Gi 1jjc_c iC C S `IO 3 ,.- <br /> (w <br />