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Sep.24. 2002 11 :35WM CONDOR EARTH TECHNOLOGIES _ 131 ve <br /> OAY$RkTNm LaGNUao <br /> COUNTYPUBLIC HEALTH I � <br /> SAN JQENVIRONMENTAL HEALTHDIVISION <br /> 01 VICES ��fl���� <br /> 304 MIST WEHERAVENUE,THIRA FLOOR <br /> 10 STOCK'TON CA 85202 SEP 2 4 ZOOZ <br /> . (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPUCATIOIH ENVIRGUMENT HEALTH <br /> T SERVICES <br /> APPLICANT Q ! HustNrlSSinGENCY ` <br /> AI3DliESS ��CJ ss �„� � <br /> PHONE�.1�A�r4ti,,. ,. .rc.y •-•--• —. ....i�ACStIIlILI`' - .. <br /> TF..NTAT[WAPPOW mEWaATE TIME <br /> (Please give praF- <br /> SIGNATURF- <br /> husitse% m of eatiarti 9 1] <br /> CHECK HOXTO E.XPEDI'M RSgUEST-U7.OF APPLICANT DATE e O Z G <br /> PiL1=Awo ss THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENT'S SEARCH2 St <br /> ` <br /> Savti ! <br /> c-' <br /> 5 13 , <br /> 5• <br /> ENVIRONMENTAL.HEALTH I]IVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP si M(LOP) M HOUSING.ABATEMENT 90�-SOI ID WA M FAGUSIY <br /> OTHER CLEANUP SrM(NON-LOP) , . 0 FOOD FAdRJTY d SOLID WASTE VE#'IICLE <br /> 1� UNDERGROUND TANK{j ONITORIHG1h MOVAL) ❑ 000 K EW&L ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR. ❑'CHICKEN'RANCH 0 PKG TREATMENT PLANT <br /> iii TwRm Pp-nmrr=FACILITY D MOTELJHaML 0 PUMPER TRUCKJYAROACIiEM TOIL <br /> Cl TATTOGfBODY PEEING b Pd SPA - ❑ LAND USE APPLICATTON SnISS <br /> ❑ MEDICAL WASTE FACHA Y A PUBLIC WATER SYSTEW C3 OTHER(PLEASE SPECIFY A00VE) <br /> 7. List up to ten addresses.In the space above. Select the types) of files from the list above by checking <br /> the appropriate box(es). At least One file type MUST be selected. Fax to f2U9)464-0138 Qs mailto the <br /> addaddMo indica# a ov <br /> 2. EHl]will notify the applicant If any VHD files exist. An appointment for review will be'confianed. <br /> approximately five business days but no later than ten(10) days after racelpt of appl6tlon. 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 EIJD staff may not be Immediately available for review. A new <br /> application may be sLib'mitted when the file Is available- <br /> Any file not returned in the sante 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 rwAew. <br /> i. <br /> '*TENTATIVE appointment dates trust be.confirmed with END staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> 10NFIRMED APPOINTMENT DATE TIME <br /> ?ATE CONFIRMED PHONE FAY IMMAI C . <br />