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Aa 25 . 2003 1 : 20pM , CON EARTH TECHNOLOGIES No-4748 P - I/I <br /> . <br /> 1.6 <br /> GATE RecEVEM emo LOG mums" <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> uG 2 5 ZU03 304 BAST SWEBER TOCKT NCA 9 THIRD FLOOR NO <br /> STOCK70N CA 95202 <br /> (20D) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> •� <br /> APPL:CANT� 9 Q C-40 a&zj _BUSWESSIAGENCY <br /> ADDRESS I•��� 1 (.,Z J.-L� s I ci CT ki- <br /> PHONE � -FACSIMILE -:'3�i- <br /> TENTATIVE APPOINTMENT DATE aq jqULY s� 0 6 . TIME ,m ' <br /> as <br /> (Ple *give 7 to t0 business d from date of appllca0on submftlao ■ / <br /> CHECK BOX TO EXPEDITE REQUEST-$87A0 FE>; REQUEST PROCESSED IN 3 BUSINESS DAYS - <br /> 7 V�j <br /> SIGNATURE OF APPLICANT DATE D3 3dti�>> <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> -T- U 5-T PR G E NTS SEARCH - <br /> V SCAM Oc�IC_'�lJ`r� ✓ • <br /> soun V 5+ K <br /> r <br /> J LU <br /> O ✓ <br /> 020 / <br /> 19 <br /> F L - r <br /> vLa_. ✓ . <br /> e • <br /> ENVIRONMENTAL HEALTH 0IV1Si0N FILES <br /> ,� UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT �SOUn WAsTEFACWTY 26 <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PEIRCING 0 P001J5PA ` - ❑ LAND USE APPLICATION SM <br /> MEDICAL WASTE FACILITY X PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFYABOVE7 <br /> A) ��JL <br /> 1. List up to ten addresses in the space above.'S le mut -etypes) of flies from the list above by checking <br /> the appropriate box(es), At least one file type MUST be selected. Fax to (209)_464-0118 or mail to the <br /> address indicated above. <br /> 2. END will notify the applicant if any END 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 END 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 END staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$87.00 �pr#Qr( 644re <br /> 5. 'TENTATIVE appointment dates must be-confirmed with END staff. <br /> 6- Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />