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Mar .31 . 2003 5 :33PM COjjR EARTH TECHNOLOGIES Vo .:219 P . 1/I <br /> r . <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 1 'Z.003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCtRON CA 95202 AN E�VIR,,f�i 4i:iJl HEALTH . (203) 468-3420 <br /> PFtiN111- SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPL.ICANT_ Ta'• �;e_�BUSINESS)AGPNCY <br /> ADDRESS 'Z16 J-4LSA <br /> FACSIMILE G-� •, �'C __ - `/ J <br /> TENTATIVE`APPOINTMENT DATE TIME _ __?-f-G—`�37�f <br /> (Please give 7 to 10 husine5ys ft <br /> s da" date of appliwUm sWbnitral) r � <br /> CHECK BOX TO EXPEDITE REQUEESST�-sv7 ao FEE—R6QUEsT PROCESSED IN 3 BUSINESS DAPS U t <br /> SIGNATURE OF APPLICANT Yrs .r DATE <br /> FILE ADDRESS THIS SIDE i:HD STAFF USE ONLY <br /> PROGRAM ELENIVI-M. SEARCH <br /> CIArF oe. 1 _ <br /> - <br /> i0/� S• i o/l <br /> L _ <br /> s <br /> X60 1 <br /> - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT �6oLw WASTE FAch-Vr R'' <br /> 0'OTHER CLEANUP SITE(NON-LOP) L7FACILITYOOD FACILITY SOLID WASTE VEHI} <br /> Jzr UNDERGROUND TANK(MOfNITORINGJREMOVAL) ❑ DOG KENNEL ❑ AIRY <br /> PHAZARDOUS WASTE GENERATOR ❑-CHICKEN RANCH PKG TREATMENT PLANT <br /> ,Z TIERED PERMITTED FACILITY ❑ MOTtL[HOTEL O PUMPER TRUCIVYARD/CHEM TOILET:, <br /> ❑ TATTOCIBODYPEIRCIING O POOUSPA " ' IO LAND USE APPLICATION SITU <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHE+Z(PLEAS E.TECIFYAiIOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list 1lbove by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to L2g9j 46�L0138 or mail t0 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 f(es <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 avallable_ <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$67.00 deposit prior to rnview. <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 dray. <br /> CONFIRMED APPOINTMENT DATE TIME -_ <br /> 3j� Y-1 03: (e4rv)e55ac� ✓flfle irni� 2a c( s $; o�javYJ <br /> na-r1r nnmmolecn our�.�� c.v •^,••,• •• <br />