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Feb. 13. 2003 2:02PM CONDOR EARTH TECHNOLOGIES No-2817 P . 1/1 <br /> EM LOG"UMER <br /> SAN'JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB• 1 3 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> %AU F' (209)4b8-3420 115 <br /> PP-it,!1iT/5ERVi(PJJBUC RECORDS RELEASE APPLICATION <br /> APPucrwT .� �y :�-I;us1HES31Acr=NCY —'�"' ' � <br /> AODMS l$ g <br /> PHONE _ 1 _ FAC31MIL9 <br /> TWATP,M*APPoWnWNT VATS a'f �� 0 3 TIME R a—►.,,-_ . a��14 3 (-7 5) <br /> (Please Stve T to 10 business days from date of application sub" ttaq <br /> 13 CHECK 5=TO EXPEDITE REQUEST-$67.00 FIM—RSQULST PROCESSED IN 3 B 3US1Nj~S5 DAYS UnJa <br /> SIGNATURE OF APPUCANT _T=e (Iet.•,��� DATE � O'� <br /> SLE ADDRESS THIS RIPE a SYAi7=t� <br /> dam. , PROGRAM MJ31Erls SL=ARCH <br /> -7 Woo ,ogTA A IPIC.. NAM c:A ' <br /> t O 10 S M4ntecAt. '�• 5 <br /> d 5 t. FU `N <br /> 5:1 <br /> S • q — <br /> P Y IU <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ummmRo=TANK(tlS7)cLl ANUP SITE(Lop) C1 HOUSING ABATFmNT SOLID WASTE FACILITY <br /> .OTHER CL9AWjP SITE(NODI-LOP) G Foot)FACILrry SOUD WASTE VEHICLE <br /> UNDER6ROUND TANK(MONTORINGIREMOVAL) ❑ DOG IGUO(EL DAIRY <br /> HAZARDOUS WASTE GENERATOR W CHICKEN RANCH D PKG TREATMENT PLANT <br /> ❑ 7Il�RF.D PERMITTED MILMY Cl MOTELHOTEL ❑ PUMPER TRI)CKIYARD/CHEN TOILFI3 <br /> 0 TATT0019ODY PE RCING O Pd0(j3pA W LAND USE APPLICATION SITES <br /> ❑ MEDIC-AL WAS'T'E FACILITY ❑ PUBLIC WATER SYSTEM O OTHER,TIME SPEWFYA60VE) <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)464:9133 gr,mailto the <br /> address lndicafgd yigve. <br /> 2. EHD will notify the applicant if any EHA files exist. An appointment for review will be confirmed <br /> Approximately five business days but no later than tett(10) days after receipt of application. The files <br /> WWII be hold for a maxlmlum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A filo than Is actively being worked on by EHO 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 releosed 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 r*Aew. <br /> 5. "'i ENTATIVE appointmerit dates must be-confirmed with END staff. <br /> s. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />