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Sep •24. 2002 11 :35AM CON K EARTH TECHNOLOGIES {fy�11 13 TpCATE R % Mq <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES fl) F � �V �o� <br /> ENVIRONMENTAL HEALTH DIVISION 1,� <br /> 01 304 EAST WEBER AVENUE,THIRA FLOOR 1 11 <br /> STOCI[TON CA 96202 SEP 2 4 X002 <br /> (209)468-3420 VIRGNMEfsT IHEALTH <br /> EIV <br /> PUBLIC RECORDS RELEASE APPLICATION . T SERVICI S <br /> APPLICANT aUSINE=AGENCY <br /> Q �S <br /> ADDRE55 4 �J , _ Qp <br /> PHONE—' FAL:3 AMLE Y' <br /> TENTATFW AQPOLIv ENT f]ATE TIKE <br /> (Please give 7to Ill d of Cation ski) <br /> TS <br /> CHECK HOXTO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCE336 a �US1[fFSS DAYS <br /> SIGNATURE OF APPU ANT DATE V Sept d, <br /> I <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGMM EEM SEARCH <br /> 3 <br /> I <br /> t `J •. r II <br /> v� � • I <br /> S4 <br /> 0 5 , <br /> I <br /> ! ENVIRONMENTAL HEALTH piVIS10[V 1=iG,ES <br /> UNDERGROUND TANK W3 )CLEANUP SME(LOP) I1 HOUSM ABATEMENT SOLID WA5M FACPJ Y <br /> OTHER CLEANUP SIT£(NON-LAP) 0 FOOD FACaJ T Y L 1 SOLJO WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGlF MOVAL) ❑ POG KENNET t] DAIRY <br /> HAZARDOUS WASTE.GENERATOR O'CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> od TwREn PI=Fi AnTEU FA Lrry d NOTED HaML 13 PWNPER TRUCKIYARDtckiEMToiLm <br /> 0 TA'fT0CVBODTPI=IRCING © P60 SPA - 1 ❑ LAND USEAPPUCAVON SM <br /> CJ mEDiCAL WASTE FAC&rry M PUBLJC WATER SYSTEM iQ OTTIER(PLEASE SPECIFY MSOYEj <br /> 3. List up to ten addresses In the space above. Select the types) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(208)4WA138 or maijto!the <br /> aAdress IndicakrA ahgv <br /> 2. EHD will notify the applicant if any FHT]files exist, An appointment for review will be confirmed <br /> approximately five business days,but no later than ten(10) days after recei 1pt of application. The flies <br /> viiia be meld for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by F,110 staff may riot be Immediately available for revwevv. know <br /> application may be submitted when the file is available. <br /> >. Any file not returned in the saltie condition as released will be reorganized by EHI]staff at the expense <br /> of the applicant f=uture file rmei$ws by the same applicant may require a$87.00 deposit prior to review. <br /> 3, '"TENTATIVE appafntmerit dates must be.confirmed with EiJD staff. <br /> 3_ Applications received after 3:00 pm will be processed the next business day_ <br /> .C)NFIRME-D APPOINTMENT DATE MIME <br /> )ATE CONFIRMED PHONF FAX IIUITIdf c �.. <br />