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Mar . 10 . 2003 12 : 25PM CONDOR EARTH TECHNOLOGIES No 030 P . 1 l <br /> DATE RECENED <br /> `f:: ((� AN JOAt-, tJIN COUN7YPUBLIC HEARTH SERVICES E"DLoc:,,,umaFR <br /> [11jLCC� C;i11�I� ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAR 10 2003 STOCKTON CA 95202 <br /> (209)468-3420 <br /> rNVIRUNMENT FIEA 1 BUC RECORDS RELEASE APPLICATION <br /> / Igo <br /> APPLICANT (� L /�I /✓ � 81.15WESS/AGENCY <br /> o�o <br /> ADDRESS�$ �p_t}r��. A/;r fir �lccl �. �� �7� � �'��ic.��-�Sz.© aL�S6 <br /> PHONE Zo`�. (�O t 1g2z FAcsIM1LE 2-91 Z!24 053& <br /> TENTATIVE"APPOINTMENT DATE 71ME <br /> (Please give 7 to 10 business days from date of application s,ubmit;ai) <br /> CHECK BOX TO EXPEDITE REQUEST- <br /> - <br /> EQUEST-$8 .00 FEE--BEQUEST PROCESSED IN 3 BUSINESS CAYS a <br /> 3 <br /> SIGNATUREun <br /> OF APPLICANT - DATI_ � vo <br /> FILE ADDRESS THIS SIDE EHD STAI:I-USE ONLY - <br /> PROGR AAM ELEMF-Vj�s SEARCH <br /> U&I OFzo — <br /> b loN �oAlp ApI / - - <br /> Z O <br /> — <br /> ? <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> f� UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Zd SOLID WASTI=I=.4CILITY <br /> jK OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTI-AE111CL E <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR Ci CHICKEN RANCH ❑ PKG TREATMENT.PLANT <br /> TIERED PERmrMD FACILITY C] MOTELIHOTEL ❑ PUMPER TRUCK YARD/CHEM TOILET'S <br /> 11 TATTOO/BODY PEIRCWG ❑ PpOLjZpA -- • CI LAND USE APPLiCATRON SITES <br /> C] MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. fax to (209) 404-0138 or mail to thy} <br /> address indicated above - <br /> 2• EHD will notify the applicant if any EHD files exist. An appointment for review will he confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The file:., <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A,m 3w <br /> application may be submitted when the file Is available. <br /> 4• 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 $97.00 deposit prior to review_ <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> o. Applications received after 3.00 pm will be processed the next business day, <br /> 'ONFIRMED APPOINTMENT DATE TIME <br /> ]ATE CONFIRMED PHONE FAX NITIALS _ { <br />