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Apr. 9. 2003 3:22PM <br />DATE RECE7V= <br />CR EARTH TECHNOLOGIES• No.3359 11 - 1/i <br />RM LOG (NUMBER <br />��-�� �, SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />FID <br />�� ����) ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />APR 0 9 2003 STOCKTON CA 95202 <br />(209) 468-3420 <br />ENVIRONMENT HFAIFXJBLIC RECORDS RELEASE ADPL Q%1'IO* 11 C <br />APPLICANT <br />BUSINESS/AGENCY _C""j ""'°'2- <br />OLo <br />ADDRESS ^166t;' ��� W��t- t✓[1QLi.�,� ,nucram � 5awc4.:-!m , CA <br />PMONE Z ' n _ FACSIt IU _ � 0- <br />TENTATiVERAPPOiNTMENT DATE AI(do-3 TI/6 • e o �Ln____ �. ��i7_ �� � <br />(Please give 7 to Id business days from dale of application subinitial) <br />. CHECK Box TO EXPEDITE PFQUEST - .00 hEE - REQUEST PROCESSED IN a BUSINESS RAYS Li� � I <br />SIGNATURE OF APPLIC _ DATE ! `J P 3 <br />FILE A13DRJESS <br />THIS SIDE C:HD STAF'IME ONLY <br />PROGRAM ELEMEM73 SEARCH <br />3U�z S, l7� po n <br />I <br />Z <br />Z e7 S. <br />it .. <br />A" A <br />7 <br />Z d5" S. PoAY <br />-- <br />ENVIRONMENTAL HEALTH DMSiON FILES � P"kd SQ,4� <br />%,UNDERGROUND TANK (u" CLEANUP SITE (LOP) CI HOUSING ABATEMENT tf-SOIM WASTE 51WILITY <br />OTHER CLEANUP SITE (NON -LOP) 13FOOD FACILITY 13SOI-W WASTE YIEHICLE <br />@'f. UNDERGROUND TANK (MONITORINGfREMOVAL) ❑ DOG KENNEL Ci DAiRY T, <br />R HAZARDOUS WASTE GENEi;2ATOR O CHICKEN RANCH 0 PKG TREATMF-01' PLANT <br />g TiERED PERMITTED FACILITY ❑ MOTEUHOTEL b PUj1PI:;R TRUCK-CARD/CI-19M TOILEi.i <br />CI TATTOO1800Y Pi:IRCING ❑ POOUSPA ... ❑ !_MID 115E APP LIGATION S11.'ES <br />❑ MEWICAL WASTE FACILITY d PUBLIC WATER SYSTEM 0 OnlEft (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the type(s) of files frorn the lint above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax t 209 464_9'I38 or mail to th+_ <br />address indicated above. <br />2. EHD will notify the applicant if any EHD files exist. An appointment for review will bo confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The filers <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 new <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 $ia7.00 deposit prior to reviow. <br />5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3.00 pm will be processed the next business day. <br />L;ONFIRMED APPOINTMENT PATE TIME <br />DATE CONFIRMED PHONE FAX <br />INITIALS <br />