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Jun • 30 . 2003 4): 03PM CONDOR EARTH TECHNOLOGIES ILIr. . 1. 140 P . lie <br /> ears RECtlV D , II � �/ r� 111040G fiUMBF�i <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SEIRVICHS <br /> JUN 3 0 2003 ENVIRONMENTAL. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR 2 �� <br /> riV' PIF NI i! FiEALTh $TOCKTON CA 95292 3 <br /> "=RVICES 1 (209) 4683420 I <br /> PUBLIC RECORDS RELEASE APPL ICi%TION _ <br /> APPLICANT __,_� Qr �L"5 +: BUSINESS/AGENCY <br /> ADDRESS lvv C�1 P .� T �LYT!�:= c' z --- --- — "' <br /> ISI PHONE <br /> TENTATIVE' APPOINTMENT OATS . <br /> (Please give 7 to I business days fr dato of appllCation subintll:nl) <br /> L-.1 CHECK BOX TO EXPEDITE REQUEST - $87.00 FEE — REQUEST : ROCESSEA IN 3 BUSINESS C,4Y'S � 4 , <br /> SIGNATURE OF APPLICANT :I pA l'EE ` 4u, b <br /> F7LE ADDRESS THIS SIDE ENDTAFF U39 ONLY��� <br /> PROGRAM ELW-4ENT3SEARCH <br /> 4151 <br /> �1 I 6�� z' <br /> V ��1 <br /> 8 I M p j,(J�t7 Cl1J0 �7• I U — -- <br /> C� t <br /> �H <f Sk /L./G <br /> c{ L? l PERSHIMCr Atm r,T <br /> ENVIRONMENTAL_ HE4LTH DIVISION FILES <br /> UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ,IOATEMENT Jgr'sO1.ID WASTE FACILITY <br /> OTHER CLEANUP SITE (NON-LOP) U FOOD FAC:1trt d SOLID wAs m V61•IIme <br /> UNDERGROUND TANK (MONITORINGAi£MOVAL) ❑ DOG I(ENDIEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR L7 ' CHICKEN PANCH CI PKC TRE XT INL'N7 PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOFEL ❑ PUA1PIiR 7CiUC1SlYARNCHEIVTTOILETS <br /> TATT00/000YPEIRCING ❑ POOLISPA ❑ LAMDUSEAPPLWATIONSnES <br /> MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTl1L1EFS (PLI_ASESPECIFYA'3OVE) <br /> List up to ten addresses in the space above. Select the type(s) of files from the fist abolre by check+Ng <br /> the appropriate box(es). At least one file type MUST be selected. ,IIx to Moltb0.•01133 or mail 'to the <br /> address Indicated a ave. <br /> EHD will notify the applicant if any EHD files exP;t. An appointment for review will be canfimled <br /> approximately five business days but no later than ten (10) days after receipt m' application. The files <br /> will be held for a maximum of five business dayn for review. Appaintmentri shrwlci Lip scheduled <br /> accordingly. <br /> A file that is actively being worked on by EHD stiff may not be Immedlataly available for review. A new <br /> application may be submitted when the fife is ay.Ailable. <br /> Any file not returned in the same condition as released will be reorganized by HHD staff at the expense <br /> of the applicanL Future file reviews by the same applicant may require a $137.0(' deposit prior to review. <br /> *TENTATIVE appointmerit dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be procl:ssed the next business ;fay$ <br /> ]INFIRMED APPOINTMENT DATE TIME <br />