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May .21 . 2003 4: 21 PM CONIPOR EARTH TECHNOLOGIES iJr, . ; 30i°°"'P . I;'1 <br /> rCOUNTY <br /> i� C9L��I 1% ��l; ER.WONMENTAL HEALTH DE ARTMOT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 2 7 2003 STOCtcTON CA 95202 <br /> (20 ) 468.3420 <br /> i-NVIRONMENT HEAETEtPUBLIC RECORDS RELEASE APPLICATUD � <br /> 711 <br /> ms;µ <br /> APPLICANT BUSINESSIAGENCY �oNDolr, ,A Items _ <br /> ADDRESS ( b8' E�0.ANK-- LUesr rlaZ4A : _ �7pa!a! V, <br /> PHONEC- Ya3 Lt'"'" Qf Q-FACSIMILI: 93 t{ !TENTATIVE*APPOINTMENT APPOINTMENT DATE 12 J0IqI?- a0il3 TIRIE <br /> (Please give 7 to 10 business days from date of appllwtion sutenMtWll <br /> CHECK BOXTO EXPEDITE REQUEST.$69.00 FEE REQUEeT PROCESSED IN 3 BUSINE38 DAYS <br /> SIGNATURE OF APPLICANT _ 1 _ DATE ��✓// <br /> FILE ADDRESS THIS;IDITE—HIISTAFFUSE—ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> ---- <br /> sX <br /> 1 I - <br /> . � rr �•l � tJAL� __ f � �� ... � h <br /> —r ' - s <br /> L14$ )rnat . <br /> ENVIRONMENTAL HEALTH DIVISION FiLEES' <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT ;OI.ID VV AITE A'ACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0IIOI.ID'A ASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KtiNNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR MICHICKL_N RANCH ❑ I'KG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUEIPER TRUCtWARD/CHEM TOILETS <br /> ❑ TA77001BODY PEIRCING ❑ POOLISPA In I.MID U.'E APPLICATION SITE=S <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY)—,—.- <br /> 1 <br /> PECIFY) __._1. List up to ten addresses in the space above. Select the type(s) of filed from the lint above by checking <br /> the appropriate box(es). At least one file typ: MUST be selected. Fax to 20'D 46k_-0?38 or mai(to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment fa r review will be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The files <br /> will be held for a maximum of five business clays for review. Appointments:uhould be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately tivailable for review. A new <br /> application may be submitted when the Elie It available. <br /> 4. Any file not returned In the same condition a:;released will be reorganiz9d by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $811.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next buslneim day. <br /> CONFIRMED APPOINTMENT DATE . TIME <br /> DATE CONFIRMED PHONE FAX INITIAL!;; <br /> REVIEWED YES NO REVIEW DATE <br /> 3/2 r 3 <br />