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r �I . 8 . 2002 I1 .-59AM CONDOR EARTH TECHNOLOGIES no •U100 r .Fr <br /> �f <br /> ,,• }�LOG NVh58ER <br /> ~ SAN jOA(al!l COUNTYPU13LIC HEALTH SER%4ES " <br /> ENVIRONMENTAL HEALTH DIVISION <br /> r. 304 EAST WEBER AVENUE,TFIIRD FLOOR 90 , <br /> O <br /> STOCKTON CA 95202 <br /> ., (209)468-3+420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1 APPLICANT iG M 1✓ sUSINESSIAGENCY (faN b aR ►4�7t1 '�` c o w6s e f <br /> Anal ss <br /> PHoNl= �9�- ��(—ash FACSIMHLE <br /> TIME <br /> TENTATIVE*APPOINTMENT DATE <br /> (Please give 7 to 10 busln"s da from data of a Pliratlar7-'submittal) # <br /> D 1 3 BUSINESS DAYS <br /> CHECK BOX TO EXPEDITE REQUEST-$a7. FEE-REQUEST PRO <br /> SIGNATURE OF APPLICANT � " � DATFC 1)310 <br /> FILE AOOR-E-5 THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> off,I Z S2biwo RTPrAf <br /> ►•� <br /> o� flameLv� <br /> 5�-S S. Pb1�T+'•-� !CJD <br /> F-N �:�6 �6�� <br /> a$d 5, �o •�- w Y <br /> 29 v WAY <br /> y 61a- "Ito ti -1-0-0 <br /> s, h RfoRr 0 —7)►, <br /> ENVIRONMENTAL HEALTH DIVISION FlLES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT. © SOLID WASTE FACILITY <br /> !�4. OTHER CLEANUP SITE(NON-LOP) <br /> 0 FOOD FACILf1Y L7 SOLID WASTE VEHICLE <br /> §4 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL Q DAIRY <br /> 9 HAZARDOUS WASTE GENERATOR L7 CHICKEN RANCH a PKG TREATMENT PLANT. <br /> ❑ 'TIERED PERMMMD FACILITY ❑ MOTEUlHOTP-L b PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOISODY PMRCING d PdOUSPA EI LAND USE APPUCATION$rfES <br /> Id MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM a OTHER(PLP-ASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select tree type(s) of files from the Iist above.'by checking. <br /> �- the appropriate box(es). At least one file type MUST be selected. FZIX to (209).464-0138 or mail to the <br /> address indicated 2lbove. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of appli"tion, 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. A new <br /> application may be submitted whets 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 EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business stay. <br /> • r <br /> 4ONFIRMED APPOINTMENT DATE _ -- TIME <br /> DATE CONFIRMED �,.._. ___ PHONE FAX INITIALS <br />