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Sep .24. 2002 11 :35AM CONDOR- EARTH TECHNOLOGIES . <br /> 131 APdm� <br /> DAM AQCWVM O;w ANU44 <br /> SAN .10 QUiN COUNTYPUBLIC HEALTH SERVICES no-, FECf \��f��� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIR!] FLOOR <br /> 0 sTOCKTON CA 95202 SEP 2 4 2002 <br /> • (209)468-3820 <br /> PUBLIC RECORDS RELEASE APPLICATIONtNpIROf�MSERVICES HEALTHNT <br /> APPLICANT <br /> !P SUSINESS/AGENCY <br /> ADDRESS l S • <br /> PHON>r 1i3i-S FAC31 LLE <br /> TENTATIW'APPOWnwrw DATE TIKE <br /> (Please giw 7to ld b 'idre o} Cation subrrdlta�l) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST PROCESS) A.C. DAYS <br /> SIGNATURE OF APPLICANT DATE 0- <br /> 4-FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PRMRAN falaYtENTs SEARCH <br /> Save <br /> 1 •. r <br /> 1610 4Sa S <br /> S • (7 aiite4 <br /> D J, <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US-1)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT SOUD WASTE FACll..iTY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY CI SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MCWTORINWIMMOVAL) ❑ DOG IOwNI4i:L. ❑ DAIRY <br /> HAZARDOUS WASTE;GENERATOR CVCHICKEN CHICKEN RANCH 0 PKG TR9ATMENTPLANT <br /> 9d TIERED mnmi ri>;U FAciLrrY D MOTELlHO'i El. E3 PUMPER TRUCK7YARD/cmEm Tan m <br /> 0 TATrocmODY P =imG O PdOLi$PA ••- ❑ LAND USEAPPUCAVON SM <br /> ❑ MEDICAL WASTE FACiLaY ❑ PUBLIC WATER SYSTMN ❑ OTHER(PLEASE SPECEFY A!)OVE <br /> ?. 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)464-0138 ar mai[„to the <br /> address indicatSd abgve. <br /> 2. EHD will notify the applicant If any 1`HD 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 flies <br /> wilt be held fora maximum of five business days for review. Appointment$should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by FrHD staff may not be Immediately available for review_ A new <br /> application may be submitted when the file Is available. <br /> 1. 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$8T.00 deposit prior to review. <br /> �. '"TENTATIVE appointment dates must be.confirmed with EJ•!D staff. <br /> 3. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> )ATE CONFIRMED PHONE FAX INmat c <br />