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Mar .31 . 2003 533P COR EARTH TECHNOLOGIES No •:219 P . 1/1 <br /> Tr- XMIER <br /> tlit=; 1, ii=,�l ,��� ,�(�) SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 1 -2.003 304 EAST WEBER AVENUE,THIRD FLOOR I <br /> STOCK-FON CA 95202 <br /> tNVIRu(�i� EIgl HEALTH (203)468-3420 <br /> AN <br /> FIDWiPSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTlQ� SC, �BU <br /> SINESS/AGENCY <br /> _ 0_ <br /> ADDRESS � 0lYr- —] 6!,,t�A,r4f T_ <br /> PHONE it FACSIMILE J <br /> asys rr <br /> TENTATIVE`APPOINTMENT DATE TIME$8 -_ -�3�7�1000LLLyyy���) <br /> (Please give 7 to 10 6uyinec5 da" date of applicatlm sW>FnHral) , <br /> CHECK BOX TO EXPEDITE REQUEST- 7.00 FEE—REQUEST PROCESSED IN 3 BUSINESS D � �, <br /> APS U n <br /> SIGNATURE OF APPLICANT _ ten DATE <br /> FILE ADORESS THIS=IE I:HD 9'rAIFF USE ONLY <br /> / PROGRAdI ELEMEt1T5 SEARCH <br /> 0f0,tr_ u oe- I <br /> 'Oro • / Cl IJ_` ? elf l e z �� _" <br /> 1119 I <br /> ke <br /> y <br /> 5freAfj Itio c <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT p�soLty WASTE FA , <br /> OTHER CLEANUP srTE(NON-LOP) 0 FOOD FACIITY �SOUO WASTE VEHI�i <br /> fzr UNDERGROUND TANK(MONATORING/REMOVAL) CI DOG KENNEL ❑ AIRI` <br /> 0 HAZARDOUS WASTE GENERATOR ❑-CHICKEN RANCH �PKG TREATMENT PLANT <br /> pi'TIERED PERMITTED FAcury EIMOTLLIHOTEL ❑ PUMPi-R TRUCKDARDICHEM TOIL.El s <br /> ❑ TATTOO/BODY PEIRCING t7 POOUSPA -- - 0 LAND USE APFI.X ATION SITE-3 <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OT11ESt TLEASF:SPECIFYABOV9 <br /> I. List up to ten addresses in the space above. Select the type(s)of files from the list above by chel:king <br /> the appropriate bOX(eS). At least one file type MUST be selected. Fax to (Z09) 46�L0138 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 bA 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. 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 ravieW. <br /> 5. "TENTATWE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT OATE TIME <br /> 3j, Y-1-o_?: <br /> nA-rtwnnmP,DwA=n Uour."c F7VA. <br /> C_e_ -Ci LT 1�)6 r-.(C 0, S -`I C) 6Y1`ti (dvt <br />