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Sev.24. 2002 11 :35AM CONDOR EARTH TECHNOLOGIES 13�D�� <br /> nnrs nEcgvm <br /> (D LOGNO q <br /> SAN JOENUIHN NMENTAP HEALTH DVISINRVICJ=S � �(c7T\UJLro)304 EAST WEBER AVENUE, THIRA FLOORi )IvSTOCKTON CA 96202 SEP 2 4 2002 <br /> 1001 <br /> . (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> —PEBMIT/�SFRVICES <br /> APPLICANT RUSINESWAGENCY, <br /> ADDRESS <br /> PHONE �-Y'7' <br /> TENTH »/TiVE�� 'APPowTMENT DATE <br /> TIME <br /> (Ple give 7 to 1a hminess dayi$v�of CBtion subrtdlfal) <br /> Gl CHECK BOX TO EXPEDITE REQUEST•SS7.00 UEE REQUEST pReOCESSIt Of <br /> DAYS <br /> SIGNATURE OF APPLICANT t5,. DATE 24_ 0-)— <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> / PROGRAM ELEMENTS SEARCH <br /> 310 � MLIIn �� <br /> S0.V\ <br /> 1 t 5 • �;I75r <br /> as. <br /> s s . <br /> 0 5 . <br /> s. <br /> ENVIRONMENTAL HEALTH DPASION FILES <br /> UNDERGROUND TANK(USI)CLEANUP SITE(LOP) ❑ HOUStNG ABATEMENT 9v-SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) Cl FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITOTDNGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> �f HAZARDOUS WASTE GENERATOR Cl CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODYPELRCING ❑ POOIISPA ❑ LAND USE APPLICATION SITES <br /> Cil MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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 (2,09),464-01311 qL majI the <br /> a d e[�§ indicatQd above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10) days after receipt of application. The riles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> according(y. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review_ A new <br /> application may be submitted when the file Is available_ <br /> I.. Any file not returned in the same condition as released 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 review. <br /> i. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> i. Applications received after 3:00 pm will be processed the next business day_ <br /> CONFIRMED APPOINTMENT DATE TIME <br /> )ATE CONFIRMED PHONF FAY INITTGI C <br />