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.i <br /> Apr - 9 . 2003 3 : 22PM CONDOR EARTH TECHNOLOGIES Nn • 3359 P • I / I <br /> RECEIVER ZW LOG NUMM <br /> HATE <br /> SAN JOAwUiN COUNTYPUBLIC HEALTH SL 1110ES <br /> HEALTH <br /> LiVISION <br /> AASST ENVIRONMENTAL RAVLNTHIRDFLOOR <br /> APR 0 9 2003 STOGKTON C3 95202 I 35 <br /> (209) a68�420 y <br /> rNVIRONMENT HE ELIC RECORDS RELEASE APPLICA11"JON <br /> vl IC CoA, iyo� <br /> APPLICANT I �IrI�-v IV C"n� BUSINF_SSIAGENCY <br /> ADDRESS I860 � � Wlrst` C.ct , S� I 'r1=` y <br /> PHONE yC;rl . Z3 � ' 051 $ FFACSIMILE 2.09 " Z 3 +� - 0 5 3 8 <br /> TENTATIVE' APPOWMENT OATE :41 ( V/03 TIME %6 • p O �I��L____._I1".I`]- / \�� � <br /> (Please give 7 to 10 business days bom date of appneetion submittal) <br /> . CHECK BOX TO EXPEDITE REQUEST - S%00 FEE _ REQUEST PROCESSED IN S 13USINESS HAY"r • + �I <br /> SIGNATURE OF APPLIC _ DATE `I 03 — <br /> FILE ADDRESS THIS SIDE [:HD STAII USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3031 <br /> S . OL L> 0fA& Q <br /> 3 z Ll <br /> Z'iSCb $ . Rf.Y 7 <br /> c _ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK (UST ) CLEANUP SITE (LOP) L:1 H0191ING ABATEMENT �5O1 ID wASTrJD WASTE VIlEIICI.E <br /> P• OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FAMILY <br /> 03. UNDERGROUND TANK (MONITOWNGIREMOVAL) ❑ DOG KENNEL El DAIRY" <br /> �. HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TRrAATMENr PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUOIPI Ii 7RUCIC�Y.A-nON SITES 701LE1:3 <br /> E3TATTOOIBODYPEIRCWG EIPOOUSPA -- ' ❑ LANDIISEAPPLICATIONt3 <br /> ❑ MEDICAL WASTE FAGLrfY 0 PUBLIC WATER SYSTEM Cl OTHEf74 (PLEASE SPECIFY ABOVE) <br /> 1 , List up to ten addresses in the space above. Select the type(s) of files from the ILst above by checking <br /> the appropriate bOx(es)- At least one file type MUST be selected. Fax to209) 464_11938 or mail to thq <br /> addressindlcated above, <br /> 2% EHD will notify the applicant if any 1:1-10 files exist. An appointment for review will he eonfirnn"d <br /> approximately five business days 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. Appointmeribi, should be scheduled <br /> accordingly. <br /> 1 A file that is actively being worked on by EHD staff may not be immedlataly available for review• At new <br /> application may be submitted when the file 15 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 dame applicant may require a $8-1.00 deposit prior to revkiw- <br /> 5. 'TENTATIVE appointment dates must be Confirmed with EHD staff, <br /> 6e Applications received after 3:00 pm will be processed the next buslness day. <br /> I <br /> CONFIRMED APPOINTMENT DATE TIME -- <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> I <br />