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Mar 10. 2003 4:49PM CONDOR EARTH TECHNOLOGIES <br /> DAzt"c QG1Y — , V <br /> AN JOAQUIN COUNTYPUBL.LC HEALTH SERVICESLoaHu, » <br /> ENVIRONMENTAL. HEALTH LDLVISION <br /> MAR 1'0 2003 304 5AST WESlR AVENUE,THIRD FLOOR <br /> STOCKTON CA 96,202 I <br /> ivv6iNMENT HEALTH (209)468.3470 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPUPANT____.:F SUSiNE;swAGENOY <br /> PHONE� FACUMLE <br /> t TENTATIVE"APPOtNTiIdENT I]ATin o 15 TIME <br /> (Please give 7 to 10 business days*om date of application submittal) <br /> • <br /> CliCCX BOX TO EXPEDrI�REQUEST-SBT-00 FEE-.REQUEST'PROC>_SsM IN 3 HUSINESS DAY <br /> 314 <br /> SIGNATURE OF APPLICANT DATE —LO (5 <br /> FIL9 ADDRESS <br /> THIS SSE END STAT`f'USE ONLY <br /> ll PIWOf A 91-BEPIMS SEARCH <br /> , ;t S e. a,-+h ro L' <br /> I• ., � <br /> DO Fs l - I <br /> v <br /> t 'T 00 -- I <br /> 0 <br /> ENVIRONMENTAL.HEALTH DMSION FILES <br /> UNDERGROUND WANK(UST)CLEANUP SITE(LOP) U HOUSING ABAT€M0 T SOLAR WASTE FACILITY <br /> I <br /> OTHER CLEANUP SITE(NON-LOP) 11 FWD FACILITY SOLID WAS•rt=11"ICLE i <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENvEL. 13 DAIRY <br /> HAZARDOUS WAM GENERATOR Q`CHICKEN RANCH 0 PKG TRLATUENTPLANT <br /> TIERED PERMITTED FACILITY Q MOTELJH0'I'CL 0 PUrAPCR TRUCKI ARDICHEM TOILETS <br /> C! TATTOO/BO0Y PE4=NG ❑ P601.SPA - a LANA USE APFLICATION SfrES <br /> I;l MEDICAL WASTE FACILITY C3 PUBLIC WATER sYSTEM 0 OTHER(PLOV19-SPFCWYAWVE) <br /> 7. List up to ten addresses in the space above. Select the type(s) of files from the II.Tt above by checking <br /> the appropriate box(es). At least one file type MUST be selected. ,fax t*a(209)a0•t38 or mail 10 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 fiver business days but no later than ten (10) days after receipt of application. The files <br /> s will be held for a maximum of five business days for review_ Appointments should he scheduled <br /> accordingly. w <br /> 3. ? A fife that is actively being worked on by EHD staff may not be Immediately avallable 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 E1413 staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$87.00 d-s„posit prior to review. <br /> 5. *TENTATIVE appointment dates must be-confirmed with EHII staff. t <br /> 5. Application received after 3.00 plat will be processed the next buzinm day. <br /> t� I <br /> CONFIRMED APPOINTMENT DATE TIME <br />