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Jul . 8. 2002 11 :59AM CONDO° EARTH TECHNOLOGIES No.0268 P. 1/1 <br /> DATE REC <br /> SAN JOAQUIN COUNTYPUI31-IC HEALTH SE dICES &W LOG NUMBER <br /> b Y' ENVIRONMF-NTAL HEALTH DIVISION <br /> p� 304 EAST WEBER AVENUE,THIRD FLOOjt 9 <br /> R <br /> r STOCKTON CA 95202 D <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_M(CMEL. Mqlv5rrF _ BUSINESSIAGENCY Ca N b oK- G'4 H <br /> ADDR>_5s 18b �f}7e AN i� V-l�sr` iQ_GC f= cA <br /> r <br /> PHONE -4) FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please glue 7 to 10 business da from date of a plication wbmittan <br /> r' <br /> CHECK BOX TO EXPEDITE REQUEST /I JV L 1 <br /> 4 EST-$87. FEE—REQUEST PROA55ED 3 BUSINESS DAYS C)O� <br /> SIGNATURE OF APPLICANT DATE B G <br /> FILE ADDRESS THIS SIDE EHD 3TAF1~USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> �C-o o <br /> sl p9 K T" L,-&y ' <br /> aid 5. F r y <br /> 29 p9 jeq w <br /> U L:61T <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(USICLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) C1 FOOD FACILITY a SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL © DAIRY <br /> 94 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> a TATTOa80DY PEIRCING IU POOUSPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL,wAsTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1• List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. FIx to (209) 464-0138 or mail to the <br /> address indicated aoove <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business clays but no later than ten (10) days after receipt of application, The files <br /> will be held for a maximum of five business days for review, Appointment$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. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not retumed 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 /> DATE CONFIRMED PHONE FAX INITIALS <br /> J. <br />