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Jul • $ • 2002 11 :59AM CONDOR EARTH TECHNOLOGIES N o . 0 2 6 8 P . 1/f <br /> DATE REC E7iD LOG NVMBEA <br /> SAN JOAQI, COUNTYF'UBI~!C HEALTH SERtiS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 0 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR O <br /> STOCK FON CA 95202 <br /> C\J <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT g o&EL- MC Vii BUSINESS/AGENCY (fa N b o2. <br /> AD[)12Ess 18 a uy ST` c t4�c c f -F'-EF- x , S-�b cv-Tb,,J4 cA <br /> A, <br /> PHONE FACSIMILE d 1 T a 3 057 <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business da 3 from date Of a plication submittal) <br /> UNIrs 33 <br /> CHECK BOX TO EXPEDITE REQUEST-$W- FEE-REQUEST PROALD l 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT' DATE B G <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> o�,Ia 2. s, W"o R�T <,.J <br /> �{coo �• � "- <br /> a S Ai 14 rc)ck w f-'f <br /> 9. p o K 7 t'-& <br /> 21 qpo w4j <br /> YIB-3� r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) Cl FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> 7 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ID DAIRY <br /> 64 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL. ❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑ TATTOOIBODY Pr;1RCING 0 POOUSPA ❑ LAND USE APPLICATION SITE$ <br /> W 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. Fax to (209) 464-0138 or mail to the <br /> addres§ indicated above. <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. Appointments should be scheduled <br /> accordingly, <br /> 31 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 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 day. <br /> GONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />