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Aua. 12. 2002 12:01PM CONDOR EARTH TECHNOLOGIES ~ <br /> . No - 0818 P. •I/I <br /> Aa7s RECFIVEA ��nnoo <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERV1 <br /> ENVIRONMENTAL HEALTH DIVISION WWWWWW LL Koo304 EAST WEBER AVENUE THI <br /> ,� RD FLOOR <br /> STOCKTON CA 95202 A <br /> (209) 468.3420 UG 1 2 2002 <br /> PUBLIC RECORDS RELIrAS6 APPLICATIOW""ROI�kIEN-P HEALTH <br /> APPLICANT O—� Qr I �(e^ BUSINESS/AGENCY �(•.�.��"•�� ���5= <br /> AgDREss <br /> PHONE--_� � FACSIMILE ,� �••�j _ <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give 7 to to Bua;n�sa d fr of liCatlon sutu'vttaq <br /> CHECK BOX TO EXPEDITE REQUEST- ' Q PRS E ) 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE -2, <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELEMENT SEARCH <br /> v r <br /> CID <br /> St. <br /> a <br /> ENVIRONMENTAL HEALTH DIVISION FINS <br /> �f UNDERGROUND TANK(UST)CLEANUP SITE(Lop) ❑ HOUSING ABATEMENT R9 SOLID WASTE FACILITY <br /> UNDERGROUND TANK(MONrrORING/RFMOVAL) <br /> q OTHER CLEANUP SITE(NON-Lop) 4❑ FOOD FACILITY 1SOLID WASTE VENICE); <br /> Br' C] DOG KENNEL <br /> �( HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 DAIRY <br /> sr TIERED PERMITTED FACILITY ❑ CHICKENMOTELIHRAN PKG TREATMENT PLANT <br /> ❑ TATTOO/BODY PEIRCWG ❑ PUMPER TRUCKIYARD/CHEMTOIL.ETS <br /> 10 ❑ P60LISPA ❑ LAND USE APPLICATION sn-es <br /> MEDICAL WASTE FACLL.ITY ❑ PUBLIC WATER SYSTEM ❑ <br /> OTHER(PLEASE SPECIFY Aeove) <br /> 1- List up to ten 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 Fie type MUST be selected. Fax to (209)464-0138 or malilo the <br /> address indicated above. <br /> 2. EHD 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 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 /> 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 thesame applicant may require a$87.00 deposit prior to review, <br /> 5- "TENTATIVE appointment dates must be confirmed With EHD staff. <br /> B. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> n ATD f nAICIoMGn -7 <br />