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Mar - 10 . 2003 12 : 25PM CONDOR EARTH TECHNOLOGIES Ho . A 30 P . I/I <br /> PATE R 11D <br /> �- tHD LDC wmae <br /> �Tl ELFOE VVMN JO <br /> ENVIRONMENTAL HEALTH DIVISIOLTH N <br /> 304 EAST WE9ER AVENUE,THIRD FLOOR I QO <br /> MAR 1 0 2003 STQCKTON CA 95202 0 <br /> EONMENT hiEA (209)468-3420 <br /> NVIR <br /> JBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 44t iyf k/✓Er� BUSINESS/AGENCY IrOALDVE U}� ` n;ui1 ye -aoc£ <br /> ADDRESS I$$ 5xJ,l/F "I :r- . ��uc�ro� C4 913z06 —_ <br /> PHONE FACSIMILE 20�j, 2Yj� 0532 <br /> TENTATIVE"APPOINTMENT DATE TIME s I c <br /> (Please giro 7 to 10 business Lays from pate of application suCmitlr[)' I � .� � 3,'l <br /> CHECK BOX TO EXPEDITE REQUEST-$8A.UO FEE-REQUEST PROCESSED IN 3 BUSINESS CAYS N n ; <br /> SIGNATURE OF APPLICANT Zc�L- - DATE _3 Lo 1 <br /> FILE ADDRESSTHIS SB)E EHD$TAI 1=1ISE ONLY <br /> FROG$" ELEMFbn"J SEARCH <br /> UNION TCO I <br /> (JIVICAJM W <br /> L110 N Ro M j - <br /> 6 I-N <br /> 3 vIJ ON <br /> J 1 2S a <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Pl, UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT X SOLID WASTE ;AGILITY <br /> X OTHER CLEANUP SITE(NON-L.OP) ❑ FOOD FACILITY ❑ SOLID WASTE`VEHICLE <br /> .UNDERGROUND TANK(MONITORINC/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TRIEATMEii r PLANT <br /> �L TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUGIG'YARO/CNEM TOILE-1'S <br /> ❑ MEDICATATTOGL <br /> WASTE FACILITY <br /> ❑ pOOLlSPA ❑ LAND USE APP UCATION SITES <br /> ❑ MEDICAL WASTE FACILnY 4 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of fdes front the IL-;t above by checking <br /> the appropriate box(es). At least One file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above.. —" <br /> Z 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 appli.catlon. The files <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 /> 3- 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 revi-e,w- <br /> �- 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> �. Applications received after 3:00 pm will be processed the next business day, <br /> ;ONFIRMED APPOINTMENT DATE TIME <br /> )ATE CONFIRMED PHONE FAX INITIALS <br />