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Apr.11. 2003 10:38AM COWR EARTH TECHNOLOGIES No. '0,434 P. 1/1 <br />CATH I LISIQ/ Fc [fN . <br />IMO Loc NulwE <br />— -� 'L S — SAN JOAQUIN COUNTYPUBLIC HEALTH SER\?ICES <br />�l ENVIRONMENTAL. HEALTH DIVISION � <br />APR 17 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br />[NVIRWIMENT HEALTH STOCKTON CA 9s202 1 <br />PERMIT/SERVICES • (70S) 468-3420 a y g <br />PUBLIC RECORDS RELEASE APPLICM-ION <br />APPUCANT____� i.� .; . sUSINE33/AGEUCY.Cnr�; _fal_Hq__Te <br />ADDRESS 11�V`�� <br />PHONE di...l �_ FACSWLE <br />TENTATIVE* APPoINTMENTDATE —o?2' 4Pr:1j 4r:1TIME <br />(Please give 7 to 10 business days from date of application subrilft f) <br />I] CHECK BOX TO EXPEDITE REQUEST - $87.00 FEE —REQUEST PROCFZSED IN 3 BUSINESS DAY'S La7' + <br />SIGNATURE OF APPLICANT 4, DATE <br />FILE ADDRESS THIS SIDE- F.HD STAFF' USE ONLY O <br />PROGRAM ELEMENTS SEARCH <br />Sod E urs ehrop I__— <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ <br />HOUSING ABATEMENT <br />V, SOA.ID WASTE I:ACUnY <br />}rte, OTHER CLEANUP SITE (NON -LOP) <br />❑ <br />FOOD FACILITY <br />C SOAID WASTE \n:IhICLE <br />J✓ff UNDERGROUND TANK (MONITORINGM.EMOVAL) <br />❑ <br />DOG KENNEL <br />❑ DARY <br />0 HAZARDOUS WASTE GENERATOR <br />❑ <br />CHICKEN RANCH <br />O PKV TTIEATMENT PLANT <br />RU TIERED PERMITTED FACIUTY <br />❑ <br />MOTEIMOTEL <br />❑ PUMPER TRUCKIYARO/CHEI1 TOIIJ=TS <br />C TATTOGIBOOYPEIRCING <br />❑ <br />P60LISPA - - <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACUIIY <br />❑ <br />PUBLIC WATER SYSTEM <br />C cTHF.Ff (ruaASIF SPI`cIFY AIIOVP <br />1. List up to tan addresses in the space above_ Select the type(s) of files from the list above by Checking <br />the appropriate box(es). At least one file type MUST be selected. to 09 .84119 8 or mail to the - <br />address indicated above_ <br />2_ EHD will notify the applicant H 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 files <br />will be held for a maximum of five business days for review_ Appointmentai shoulcl be scheduled <br />accordingly. <br />3. A file that is actively being worked on by FHD staff may not be Immediately avallakde for review. A neNv <br />application may be submitted when the file 1.5 available. <br />4. Any file not returned in the same condition as released will be reorgenizu�d by EHD staff at the experlsrl <br />of the applicant_ Future file reviews by the same applicant may require a $IIT.00 defmsit prior to review. <br />5. *TENTATIVE appointment dates must be confirmed With EHD staff. <br />S. Applications received after 3;00 pm will be processed the next business aary. <br />CONFIRMED APPOINTMENT DATE TIME <br />