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Mar •26 . 2003 I :OOPM CONDOR F'RTH TECHNOLOGIES N , 209 P . 1/I <br /> %WSW .' OW LOG NUMBER <br /> rEncrven" (I���(1 SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> }I1-,�`,: E,' 1 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEHEK AVENUE,THIRD FLOOR I <br /> MAR 2 6 Z003 sToacroN 95202 <br /> . (209)468-3-3 420 "7 <br /> cNVIROidMENT HEALTH <br /> fS �, � PUBLIC RECORDS RELEASE <br /> �APPLICATION <br /> , <br /> 3PUCA14T. <br /> l�_HUSWESWAGENCY(/0 a(71- = •-}—�? '-�:)-�`-� <br /> JORE55 <br /> HONE 2 L-L-N�F�I FACSAnU..E rte' •-�jj � _- i" /,f <br /> 'S� <br /> p V c>t..vv. '`� d <br /> TENTATIVE'APPOINTMENT DATE (J ad0'3 TIME , <br /> •y (Pleasfl give 7 to 10 husin days from da0a of apPlltalion auhrNtl:�U 1[ <br /> -1 CHECK BOX TO EXPEDITE REQUEST-$ZT.BQ FEE- QUEST PROCESSED IN 3 BUSINESS DAYS V\ 3 <br /> DATE <br /> ;IGNATURE OF APPLICANT <br /> PILE ADDRESS THIS SIDE EHD STAF1=USE ONLY <br /> PROGRAM ELEw-b s SEARCH - <br /> al. er 2 <br /> e tis r _ <br /> C 77 <br /> cr r <br /> -^- <br /> a I o O I.•-clm ren tX' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ HOUSWG ABATEMENT e SOUL,WASTE FACU.ITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY - SOLID WASTE VEHICLE <br /> kL OTHER CLEANUP SITE(NON-LOP) 0 DOG KENNEL ❑ DAIRY' <br /> G(R <br /> 1•d UNDERGROUND TANK(MONITORINEMOVAL) ❑.CCGIEN RANCH !a PKG TREATMEWT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKMOTEN RAN 0 PUfAP1:R TRUCK/YARDICHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY 0 pbouSPA. C! LARD USE APPLICATION SITES <br /> ❑ OT11E7t(PLEASE 5PECIFY AbOYEJ <br /> 13TATTOOTBODY PEIRCING ❑ PUBLIC WATER SYSTEM <br /> 0 MEDICAL WASTE FACILITY <br /> 1. List up to ken addresses in the space above. Select the select)of files o_(?frothe IIaTc above bmYa 1 to' ng <br /> the appropriate bOX(e8). At least one file type MUST be selected. Fax taSi:49 4fr4_�'�_.------_ <br /> address indicated above. <br /> 2• EHD Will notify the applicaneirmed <br /> t if any EHD files exist. An appointment for review wili biirationfhe fill=s <br /> approximately five business days but no later than ten (10) days after ntm®nom should k e scheduled <br /> will be held for a maximum of five business days for review, App <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately avallaole for review. Anew <br /> application may be submitted when the file is available. <br /> 4. oAny f thellapplicantr Future le reviews by the same applicant may ned in the same condition as released will be require e-I$37.00 rd p'S1t Prior to r vlaw- <br /> 5. `TENTATIVE appointment dates must be cotlfirmed with P-HD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> . nUnLic <br /> vAv <br /> nnTF r()JCIOMr; <br />