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\1 Jun .30. 2003 4:03PM CONDOR EARTH TECHNOLOGIES Nr, .1.140 P . I/I <br /> DAIS FEC£IYeO _. I I �,Y�I����J �� I1101,OG N�:GOEii <br /> `-'SAN JOAQUIN COUNTYPUBLIC HEALTH SEIRVICI:iS <br /> .JUN ,3 0 2003 ENVIRONMENTAL. HEALTH DIVISION 304 EAST WEBER AVENUE,THIRD FLOOR <br /> E;J HEALTH STOCKTON CA 95.2021 :355 T.' F-RVICF (209) 468-3420 <br /> -}. PUBLIC RECORDS RELEASE APPL.IC,%�171ON _ <br /> APPLICANT„t Q�0.F4-t'�,�,iy�_OUSINF$S/P�GFSdC�YC_GJ'Y`tQQ,[X��(''�G't'�^�_�����`i-l'-���\�'.�}f�-`'+(� <br /> ADDRESS <br /> PHCNE �� ��? _ �FACSIEfILE_ 4' t� "��`1.�y.Z.�-•----'--------- <br /> TENTATIVE"APPOINTMENT DATE \ ) l'>_�{,� TIME. _. .i ;:! �__._aX _;_r�j i <br /> (Please give T to 10 business day s trcnl_dagg of application subulflf:nq <br /> CHECK BOX TO-EXPEDITE REQUEST-$87.00 FEE-REQUES`r.'�HOCE5SED IN 3 BUSINESS C,N7 S ' a <br /> SIGNATURE OF APPLICANT (4 Il i.L O!•'.I',1V: °'" b <br /> FILE ADDRESS THIS slUi=t_Ho;Tnff i1:5E oNIY <br /> ' RM4 5FlUtCH <br /> 4131 .12oWN />yE- — SrorA�701�1 <br /> n 8 } —LLE u t>o c I n10 Sir V — - <br /> MAP-t-t5 ill, o _ <br /> ' ' T_&KsHING . AOL, -- <br /> y_50 1 'PARS H/!J W A tA-.. ✓_ <br /> zto <br /> Pd <br /> { llAallcl<,– flyF. <br /> ENVIRONMENTAL HE4LTH DIVISION FILE:$ JUL 16 2'Ji;3 <br /> UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING)LBATEMEWF r'SOI.ID 1NA:i Tri FAGILIIY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACTITY SOLID WA:i ITe VUI'IICLE <br /> UNDERGROUND TANK(MONITOWNGIREMOVAL) t-7 DOG I(ENNI3_ C DAIRY <br /> HAZARDOUS WASTE GENERATOR O'CHICKEN FANCH Q PKC;TREA'i tW!EN'r PLANT - <br /> TIERED PERMrn-ED FACILITY ❑ MOTELIHOrEL C PUDIPt_R T�iVrir YARtVCHrIN TOIL�:1 <br /> TATToomauYPEIRCING ❑ POOLISPA ❑ LAND USE I iPPLXATION SnES <br /> MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTFIER(PLI_ASV$PECIFYA3OVE) <br /> List up to ten addresses In the space above. Select the type(s) of flies tram thn list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. •tx to 20a,)64­0138 or mail-to thr <br /> address indicated above, <br /> EHD will notify the applicant if any EHD files exist. An appointment for raview will he ccnfimled <br /> approximately five business days but no later than ten (10) days after receipt a'application. The file) <br /> will be held for a maximum of five business dayr. for review. Appaintment.; shnukl bre scheduled <br /> accordingly. <br /> A file that is actively being worked an by FHD staff may not be Immedlately available for review. A new <br /> application'may be submitted when the file Is available. <br /> Any file not returned in the same condition as re'eased will be reorganized by I.-HD staff at the expem>e <br /> of the applicant- Future file reviews by the same applicant may require a $87-M,deposit prior to review. <br /> "TENTATIVE appointment dates must be confined with EHD staff. <br /> Applications recaived after 3:00 pm will be processed the next business day. <br /> )NFIRMED APPOINTMENT DATE TIME <br />