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Mar •26. 2003 1 :OOPM CONDOR �"-RTH TECHNOLOGIES N •'1209 P 1/1 <br /> `e 1/1 I'ctw LOG NUMBER 1 <br /> ,Tri R=XV>°n <br /> ` <br /> SAN JOAQUIN COUN'i'YPUBLIC HEALTH SERVICES <br /> V1 '- ENVIRONMENT'AL. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIFW FLOOR <br /> MAR 2 6 2003 srocicTON CA 9S2oz <br /> 10 7 1 <br /> (2t}8)468-3420 3420 I <br /> ENVIRONMENT`HFALTH PUBLIC RECORDS RELEASE APPLICATION ` <br /> PPUCANT __ � -$USWE53/AGEIVCY ' <br /> QQ <br /> DQI;.Ess <br /> -i-'cT:'1 pt�7 FACSIMaX 7 <br /> HONE ...y. �-_.- 1/ <br /> p /� ,��•�t oZdd 3 TIME ' 0-0 Cx..-vv. <br /> TENTATIVE*APPOINTMENT DATE <br /> (Please give 7 to 10 busjn&4 days!Coln date Of appli"don subraitlt�I <br /> Ll <br /> L3G=:1OFAPPLIC <br /> X TO EXPEDITE REQUES-r-$87.00 FEE- QUEST PROCESSED IN 3 BUSINESS I,�AY r ko1�ATt=ANT <br /> ME ADDRESS THI:D SIn E E»1.1D STAT=i=JSE ONLY - <br /> PROGRAM F_E.I:iYIEb S sEARCH <br /> or <br /> � 2 <br /> 7zmm N-� <br /> K <br /> � . <br /> a 10 o L„a.w.ren e r mal. 5. t- _ <br /> F.NVIRONMENTAL HEALTH DIVISION FILES <br /> d HOUSING ABATEMENT a SOUL,tNAM FA(�UJTY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUS NG ABT � soUI3 WASE'E vF.IaICLE <br /> $�C OTHER CLEANUP SITE(NON-LOP) ❑ DOG FACILITY <br /> ❑ DAIRY' <br /> UNDERGROUND TANK(MAONtTORENG(ItEMOVAt) ❑'cHjC1tl~N RANCH ❑ PKl'a TREATEENITUCKi PLANT <br /> ARDIC <br /> HAZARDOUS WASTE GENERATOR p llAO7ELIHOTEL CI PUIl1P1-R'TRUCK/1fARDlCH6MITOILlLT3 <br /> ❑ TIERED PERNAITl�FACILITYLl LM4D 41SE ADPL(;AVON SITES <br /> ` SPA <br /> 0 TATTOOIBODY PEIRCING 0 PURLIC WATER MTEM [IOTEiETt(PLEASEi.PECIFY A�OYE] <br /> C] MEDICAL WASTE FACEUTY <br /> 1, list up to ken addresses in the space above. Select the type(s) of files from the li:,l::lbove by t:hee:l,iincl <br /> !` — <br /> the appropriate box(es). At least one file type MUST be selected. Fax to s•Ci9 464^0'138 pt 1[9 t° <br /> address indicated above. ointment for revilaw wilK be conf rtned <br /> 2- 1trHp will notify the applicant if any EHD flies exist, An app of _ <br /> approximately five business days but no later than tett(10) days after.nt3 shouldpk stched led�I{s <br /> will be held for a maximum of five business days for review, Appo <br /> accordingly. <br /> new3. A file that is actively being worked on by F,.Np staff may not be immedlatel;f avallaiate•for review. <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the samendit�en saasr ee applicant <br /> pl c ntt mayll be re <br /> ani$137.00 r p'sd pn r to r via'w <br /> of the applicant. Future file reviews by <br /> g. 'TENTATIVE appointment dates must be-confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business doy. __ <br /> CONFIRMED APPOINTMENT DATE TIME <br /> nonan <br /> �AV 11.1}+ryNt [• <br /> r)ATP rf)N9;I Rfir-n <br />