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tj Mar . 26 . 2003 1 : 00PM CONDOR EARTH TECHNOLOGIES No .3209 P . 1/1 <br /> PATE RECPJVPM <br /> - i-_,"-�_` Ir (� <br /> =,Ire I � • SAN JOAQUIN COUNTYPLJBL.IC HEALTH SERN(ICES EM IOC NutA�ER <br /> - ENVIRONMENTAI- HEALTH DIVISION <br /> MAR 2 6 ?003 3Q4 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 I <br /> EPJV1KIVENT I IFALTH (zos) 4613-3420 <br /> Fe���CF`_ PUBLIC REGORI)S RELEASE APPLICATION <br /> APPLICANT _QQLL _suStrtEssiaGr NCY C1CIC1j"s�"�j"= �� t? <br /> AD10US5 <br /> PHONE FACSJMU-E. <br /> TENTATIVE*APPOINTMENT DATE--!K r" 0200 3 TIME <br /> (Please give 7 to 113 businks3 days frog date of application subrNtl.:io <br /> ri • � <br /> CHECK BOX TO EXPEDITE REQUEST-587.00 FEE- QU1wST PROCESSED IN 3 BUSINESS CAY51 <br /> C- 4n , <br /> ",,' •- <br /> SIGNATURE OF APPLICANT OATS <br /> FILE ADDRESS THis 310E I::HD 5TWi USE ONLY PROGRAM F_L.EMFMI'S SEARCH <br /> ...tea,. <br /> ate o'r-h i4L cczj o r- — O(rT -r-4) Ns PE re- <br /> e <br /> o v1 <br /> ivIlso -- <br /> s - <br /> ' rSt K±lnF D <br /> alf l O O 20.1111 m e.Y"5mol• $. G = - -- <br /> ENVIRONMENTAL HEALTH DIVISION FILES Q <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT soiuL-%wA5 fE FACILITY <br /> OTHER CLEANUP SrrE(NON-LOP) ❑ FOOL)FACILITY rd 5000 WASTE VEHICLE <br /> UND{_RGRO4JN0 TANK(MONITOMNGMMOVAL) C7 DOG KENNEL. ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br /> Cl TIERED PERMITTED FACILITY ❑ MOTELIHOTEL M PUTAPI-R TRUCKIYARDICNEM TOILi�3 <br /> ❑ TATTOOIBODY PEIRCING G7 POOL/SPA ❑ L Q`I0 VSE APPLJ(.AT1ON SMT S <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER;(PLEASE:;PECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of films from the lis above by check ag <br /> the appropriate box(es). At least one file type MUST be selected. Fax ta�!09 4fr4-0'138 9f-.ma_i •t[ o t1jT <br /> address indicated above. <br /> 2- EHD will notify the applicant if any END flies exist. An appointment for reviraw will bo confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The files. <br /> M11 be held for a maximum of five business days for review. Appointment.; should k1e scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immedlatehf available-for review. A nein <br /> application may be submitted when the file is available_ <br /> 4. Any file not returned in the same condition as released will be reorWizi:d by EHD staff at the expense <br /> of the applicant Future file reviews by the same applicant may require gi$137.00 disposit prior to rovilaw .. <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 &y. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> nATP r:r1NG1PRAr- 1 rwv i, rtwc• <br />