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Sep • 16. 2002 340P CONDOR EARTH TECHNOLOGIES No- 1215 P- 1/1 <br /> OA7E RECSVIM 1 t0 LOG NUMBFR <br /> SAN JC1,t-% 2UIN CIIUNTYPUIII-IC HEALTH SERVICES <br /> ENVIRONMENTAL. HEALTH I)MSION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 96202 <br /> - (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION SEP 1 7 2002 <br /> APPLICANT QQCL S'rX. BUSINESWAGENCY l <br /> ADDRESS <br /> PHON4 FACSWILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please glue 7�tolb�days�m da3te a'fappll kaon 9uhmt3L�1) <br /> CHECK SOXT�7 EXPEDM:REQUEU7 90 —REQUESTPRO•S5E3�IN 3 USLNESs GAYS <br /> SIGNATUREOFAPPUCANT7g*— DATE 16440kO-2- <br /> FILE <br /> ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM,ELEMENTS SEARCH <br /> N 70 CX Ui "I't, <br /> G <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANI)P SITE(NON-LAP) D FOOD FACILITY IX SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONIIORINGIR9MOVA1,) ❑ DOG KLN9 L ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TRI_ATMENT PLANT <br /> 12r TIERED PERMIT7EA FACILITY CI MOTEUHML ❑ PUMPER TRUCK(YARD/CHEM TOILETS <br /> d TATTOOMODY PEIRCING ❑ P64L1SPA .. - V LAND USE APPLICATION SrTES <br /> 0 MEDICAL.WASTE FACILITY M PUBUC WATER SYSTEM 0 OTHER(PLEASE SPECIFYABOVE) <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 file type MUST be selected. Fax to (209)464-0136 or mai-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 five business days but no later than ten (10) days after receipt of application. The files <br /> will be hold 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 Immedlately 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 the same applicant may require a $87.00 deposit prior to review. <br /> 5. *MNTATiVE appointment dates must be-confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm w(ll be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> r)AT=I1nP6imoMrn ., ..,>..- .... .. .. <br />