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Mar . 5. 2002 5 07P �-"DOR EARTH TECHNOLOGIES No-8600 P. •4/4 <br /> EltU L06 NNdIQER <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENWRONMENTAL HEALTH DIVISION <br /> r,r 304 EAST WEBER AVENUE,THiRD FLOOR <br /> ' - <br /> 02 MAR -5 Fpq 4: 0�UBUC <br /> STOCK70N CA 95202- (2"46$-3420 <br /> RECORDS RELEASE APPLICATION <br /> APPLICANT suslNEssMUWXCY <br /> ADDRESS <br /> FACSAILE <br /> TENTATIVE'APPOKIMENT DATE_� iLurP ) <br /> ('leas to 10 b s tl4t�of <br /> CHECK 80X TO EXPEDrTE REQUEST .00 - YS <br /> SIGNATURE OF APPUd-ANT DATE <br /> FILE ADDRESS THIS SWE 00&A—FFP W ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 36.22 <br /> tt <br /> 1 <br /> Igo a-'7 Llb <br /> a <br /> a o Sa Jl►.) <br /> R <br /> 1 Z7 3 <br /> ENVIRONMENTAL HEALTH DIVISION a FILES <br /> RruNpEWMWND TANK(LIST)CLEANUP SITE(LOP) E3 HOU016ARATEINF�N'T w- wAsw KAcvm <br /> 0 OTWA CLteAMW SITE(ICON-LOP) O FOOD FACILITY WASTE V0#= <br /> M-LINOMROUND TANK(MONITORINGiREMOVAL) O DOG K!~N►EL © PICCi TREATMENT PLANT <br /> 1 'HAZAR1)0U8 WASTE GENERATOR erCHICH�{RANCH <br /> TIERED PERMMIED FACILITY q NIOT>rtMOTEt. la PUIWPER TRUCKIY/U3D1 *MM TOILETS <br /> 0 TATTOORKW PERCH E3P00L1Sf'A ❑ LAID USE APPLICATION SRES <br /> M-TICAL WASTE FACAM Q PtJSt.IC WATER SYSTEM © OTHER(PLEASE SPECIFY AWM <br /> 4. List up to ten addresses in the space above. Select the type(s)of flies from the rest above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)4"38-or MALI o the <br /> A&Ma indicated above <br /> 2. EHi)wilt notify the applicant if any EHO tiles exist An appointment for review w0l be confirmed <br /> approximately five business days but no later than ten (40)days after receipt of appQcatlon. The files <br /> Will be held for a maximum of five business days for review. Appoint rents should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EW staff may not be immediately available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned iO the some condition as reieased 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. *'TENTATIVE appointment dates must be-confirmed with 1-Ho staff. <br /> 6. Applications received after 3:00 pm will be processed the nes#business day. <br /> CONFiRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br />