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Apr - 9. 2003 3 :22PM CONDOR EARTH TECHNOLOGIES No .3359 P 1/1 <br /> DATE RECEIVED ..�,� *0 LOO NUMBER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> v n��(GF[Ile1�[)) ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBERAVENUE,CA 9 THIRD FLOOR IR35 APR 0 9 2003 STOCKTON CA 95202 <br /> (209)488-420 <br /> ENVIRONMENT HE BLIC RECORDS RELEASE APPLIC) rION <br /> APPUCANT Iwlrcwl"l'1`(V C`f)"� BUSMESSIAGENCY GON�� �-�iFa JE . 1VOLD 4�L�J <br /> ADDRESS��f Ba Ficok I(c W-Is r- o wc-L6, Su 1 rL- I-- S��.u�ro c ry CA_ 96-2.v� <br /> PHONE 2"'"I•Z-3 4. 0 5 a FACSUIILE- 7,01 Z.3 q . 0 S s a l <br /> TEN7ATN£_'APPOWTAIENT GATE (QJ O3 TAeE /'6. p O _� �(7_L 3(j�/Gy�J <br /> (Please give 7 to 1 business days from date at appUC0I Nj subir tial) `^ o <br /> �. CHECK BOX TO EXPEDITE REQUEST-$M.00 FEE—REQUEST PROCESSED IN 3 BUSINESS GAYS �` / •'�°;I �I <br /> SIGNATURE OF APPLICAINk-Vii`--' /- — <br /> DATE <br /> FILEADDRESS THIS SIDE EHD STAI:F USE ONLY <br /> PROGMA( ELEMENTS SEARCH <br /> 3o3T_ 5. GL po o ) <br /> ao s. bo vv <br /> 3 c <br /> 3i-4-,_ e.. 4 <br /> V644-4- N 2 �- <br /> z o s. <br /> Z-5M S. Iry 7 p <br /> 213— - <br /> ?43 a w - 14LQ o Lv)sEQ6,.Vjo <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HONING ABATEMENT )<SOIJD WASTE rA<SLITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACU.IIY ❑ SOLID WASTE VIERICLE <br /> 21L UNDERGROUND TANK(MONrromNG/REMOVAL) 0 DOG KENNEL - 0 DAIRY <br /> ¢ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREAATIMENY PLANT <br /> f0 TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUIIPI:_R TRUCICTARDICHEM TOILE" <br /> ❑ TATTOO(BODY PEIRCWG 0 POOLsPA -• ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHIEJt(PLEASE SPECIFY ABOVE) . <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the i4d 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 /> 2. EHO 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 filers <br /> will be held fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3, A file that is actively being worked on by FI-ID staff may not be immediately available for revieliv, 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 $137.00 deposit prior to reviow. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 0. Applications received after 3:00 pm will be processed the nerd business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />