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Feb , 13 . 2003 2: 02PM CONDOR EARTH TECHNOLOGIES . Ni) . 2817 P . 1/1 <br /> DATE RECFIVE�'I - I- <br /> SAN'JOAQUIN COUNTYPUSLIC HEALTH SERVICES 40lOG NYbY1ER <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB. 1 3 2003 304 EAST WEBER AVENUE, THIRD FLOOR I ( �� <br /> STOCKTON CA 95202 <br /> (209) 468-3420 <br /> i :?d1i i :;FR',i(PUEILIC RECORDS RELEASE APPLICATIO—N <br /> APPLICANT— BUSINESSIAGENCY (x"' G,i(' 4s��`6••t p'In ��'YmLW <br /> PHONE �r .L FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE .. eZ'7 t'Pb 0 _ TIME <br /> (Plea give 7 to 10 tlf amass pays from date of applicaUm 3uW11ttall 2 U <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS u n � ' 1,5 <br /> SIGNATURE OF APPLICANT �� a�� DATE <br /> FILE ADDRESS THIS SIDE EHD STMT Its'ONLY <br /> PROGRAM ELEMEN:I'S SEARCH - <br /> L. Woo wdr MA ECA <br /> 1 d -- <br /> L- r v-! 9 <br /> 10 10 aht-e c40- a ti 5 <br /> ad 6 96 s . aH.+ «. Rd (ALM.Z .�723 2,515r a Se. - <br /> 80o - <br /> s a k 9 Z: '294ge) <br /> q00 10 <br /> ML— <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ���1�///SOLID WASTE- FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINWREMOVAL) ❑ DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR W CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUC.KIYARD/CHEM TOILEIS <br /> Cl TATTOCIBODYPEIRCING ❑ POOUSPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFYAbOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the Ilst:above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464_71138 or Mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will he confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The tiles <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 revi6v. A new <br /> appllcation may be submitted when the file is available. <br /> 4. Any flie not returned in the same condition as released will be reorganized by EHD staff at the exporlse <br /> of the applicant Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />