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Mar . 31 . 2003 5 :33PM C14R EARTH TECHNOLOGIES �1r0 219 P . 1/1 <br /> . <br /> Loc nu"ER <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH SPRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 1 -2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 7 <br /> ENVIk,Iwa,i'gi fitALTVI (203) 468-3420 <br /> PERMI /SFRVl0ES PUBLIC_ (RECORDS RELEASE APPLICATION <br /> APPLICANTtT1 ,W .($QYI.L.P S-P. �,BUSINE1$$_/AGENCY <br /> ADDRESS - <br /> PHONE �, J FACSIMILE J <br /> TENTATIVE*APPoiNTMENr DATE TIME U-G-`J?j�7�f <br /> (Please give 7 to 10 6<w;n�days ftom date ofappliwtlon submilFal) .'� �, <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DA1'S U np <br /> 3, q <br /> SIGNATURE OF APPLICANTi DATE <br /> FILE ADDRESS THIS SWE d:HD 9TAI=FUSE ONLY A <br /> PROGRAM ELEMEJkM SEARCH <br /> •7iYi7=—•q� �� p _ - - <br /> t <br /> t 5 <br /> n D)jr <br /> u 01 <br /> X60 >r• ,. .r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 10 UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT �sot-to WASTE FAcd' Tr <br /> l 'OTHER CLEANUP sn-E(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VENNI, <br /> UNDERGROUND YANK(MONrrORINGJREMOVAL) ❑ DOG KENNEL. � ❑ AIRI' <br /> gf HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH �d PKG"TMEMT PLANT <br /> TIERED PERMITTED FAcILrrY ❑ MOTEL(HOTEL ❑ PUIMPINRTRUCN7)'ARDIC)1EMTOII.Ms <br /> d TATTOOIBODY PEIRCING U POOUSPA ' ' ❑ tA14D USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTI1E+3('LEASE 6PECIFYABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of flies from the lls t above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax t020g) 46h4138 or mail ttte <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD flies exist, An appointment for review will by confirmed <br /> approximately five business days but no tater than ten (10) days after receipt of application. The fifes <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 availablo 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 END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business dray. <br /> CONFIRMED APPOINTMENT DATETIME <br /> Y-/-0-? 1�e <br /> : 6--4rjv i, �1 <br /> nnTtr a nuelDeecn o� _�' 0�0 <br /> (� <br />