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Jun -30 . 2003 4:0.3PM CONO�EARTH TECHNOLOGIES 1,11: . 1.14a P . 1/I <br /> JUTE Rl=VA2G_; <br /> AN JOAQUIN COUNTYPUBLIC HEALTH SERVICI-S <br /> ._f UN 3 d 2003 ENVIRONMENTAL. HEALTH DIV11SION <br /> 304 EAST WEBER AVEN LIF,THIRD FLOOR <br /> {EALTH STOCKTON CA 95202 <br /> (209) 468-3420 355 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPI ICANT Q 4AZBUSINFSSI�4GEfVGY! <br /> ADDRESS <br /> PHCNE FAC311411=_. <br /> TENTArnE*A1'PoINTHAENT TlATE :) iLA TIM <br /> 0^ _d _i—_7""1'^�` J <br /> (Please gyve 7 to 10 business day's frml date of Appllaation subrrtitt:lin <br /> ! CHECK BOX TO EXPEXTE REQUEST.447.00 FM–REQ11F_ST'�ROCr=55»IA13 BIIS!l11l=SS Cl4yS , <br /> SIGNATURE OF APPLICANT J Cy 1 r 1.� p�;I•E 6' <br /> FILE ADVIMSS T1*3 SI171_lM iTAPFI1s>ti ONLY <br /> PROGR kM E F1.I NTS SEARCH <br /> V <br /> M Ll <br /> Lc I /V. b <br /> - <br /> �I HERS hl/�1r A rY <br /> ENVIRONMENTAL HEM-TH DIVISION FiLFS <br /> r <br /> f <br /> UNDERGROUND TANK(11571 CLEANUP Srr'E(LOP) ❑ HOUSING 119ATEMENT 11501.10 WAi:TE FAC)LnY <br /> 01-HER CLEANUP SITE(MON-Lop) C7 FOOT}FAGLrrY 501.10 WAS nE 1rr1.111CLr: <br /> UNDERGROUND TANK i119OWORINW(E4lIOVAL) 0 DOG KERNEL C DA TTY <br /> HAZARDOUS WAST~GENERATOR 0'CHICXRX FANCH Q PK(;T'.tEA'l trLurr],,,ANT <br /> TIERED PT=RI n TED FACILITY 0 MC'T£1Jt CFFF-L C PU lF1ZR TriUcwyARrvc.8 w'roIIzm <br /> TATTOCV8013Y PEIRCING 0 POOLISPA - . ❑ LAPID USE f1PFL1G MN SnFS <br /> MEDICAL WASTE FACMJTY 0 PUBLIC m4'Ti R SYSTEM 0 OTHER(PLI ASE SPEG1f'Y X§OVE) <br /> Inst up to ten addresses In the space above. Select the type(s) of files frnrti thu list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. -lx to or mail to the <br /> address Indicated due <br /> EHD will notify the applicant if any LHD files exi,t. An appainftent for ravleW i.uill lie canfirned <br /> approximately fve business days but no later than'tell (90) days after ret:elpt W application. The files <br /> will be held for a maximum of flue business days for review. Appoint Iment-s should be scheduled <br /> accordingly. <br /> A file!fiat is actively being worked on by EHD staff may not be Immedlatray'ava ilatlle for reviaw. A nr.11v <br /> application'may be submitted when the file is available. <br /> Any file not returned in the sate condition as reieased will be revrganiz€td by Ic HD staff at the expense <br /> of the applicant_ Future file reviews by the Sarno applicant may require a $87.0(1 deposit prior tQ review. <br /> "TENTATIVE appointment dates must be•confirn.ed with 1_1-10 staff. <br /> Applications received aftex 3:00 }gym will be processed the next.buslness ;lay. <br /> :)NFIRMED APPOINTMENT DArE TIME <br />