Laserfiche WebLink
MaY -21. I20031`/' 4:21PM CONDOR EARTH TE?HNOLOGIES COUNTYWu • J80o P I;'I <br /> (nlE(t�� I� v ���) EPtpNMENTAL HEALTH DE ARTMOIT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY 2 7 2003 STOCKTON CA 95202 <br /> (S 46 — <br /> i=NVIRONMENT HEALTH i PUBLIC RECORDS RELEASE APPLICATIT4 <br /> APPLICANT -" " <br /> BUSINESS/AGENCY CoNAolz_.. ;A � m' ` <br /> ADDRESS <br /> PHONE�� {.v d�> FACSIMILI=_ <br /> 'r <br /> TENTATIVE'APPOINTMENT DATE nZ. )n t? „lpd 3 TIME ;C(;7(%Vn 3 <br /> (Please give 7 to 10 business days from date orappllgtlon aetxnrltalJ <br /> CHECK BOX TO EXPEDITE REQUEST-$99.00 FEE REQUEiT PROCESSED IN 3 BU31NE3S D/NYS <br /> SIGNATURE OFAPPLICANT DAT�EM, ✓ <br /> FILE ADDRESS THIS E IDL"=EHI13TAFF USE ONLY <br /> PROGRAM EIEMENP.i SEARCH <br /> it <br /> it <br /> 2in al <br /> 4r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT .01.10 9i AST'FE FACILITY <br /> OTHER CLEANUP <br /> SRE(NON10P) ❑ FOOD FACILITY 0;01,10 VV sksli VEHICLE <br /> UNDERGROUND TANK(MONRORING/REMOVAL) ❑ DOG KP:NNEL ❑ nAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKL_N RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELHOTEL ❑ PUEIIPER TRUCWYARO/CHEM TOILETS <br /> ❑ TA TTOMOOYPEIRCING ❑ POOU3Pq ❑ LMID U,'E APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) __ <br /> 1. List up to ten addresses in the space above. Select the types) Of filers Vorn the list above by checking <br /> the appropriate box(es). At least one file types MUST be selected. Fax to a0`D 46k_:Ua or mail to rtlse <br /> address Indicated above. <br /> 2- EHD will notify the applicant if any EHD files u1st An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after rel;eipt Of application. The files <br /> will be held for a maximum of five business riayS for review. Appointments vshould be scheduled <br /> accordingly. <br /> 3• A file that Is actively being worked on by EHD staff may not be immediately alvailable for nlview. A new <br /> application may be submitted when the file Ic available. <br /> 4- Any file not returned In the same condition a:l released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the s411111e applicant may require.) $91).00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD start. <br /> 6. Applications received after 3:00 pm will he processed the next busine9s day. <br /> CONFIRMED APPOINTMENT'DATE . TIME EL-71., <br /> �> ' <br /> DATE CONFIRMED PHONE FAX IN1•rIAL(:i _ <br /> REVIEWED YES NO REVIEW DATE <br /> END1IEW _- <br />