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Jun .30 2003 4:03PM CONDOR EARTH TECHNOLOGIES Hc. •1.140 11 . lil <br /> GATE R9CEiven ! ,'i (r j END=HUMS01 <br /> -'SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICHS <br /> JUN ,3 0 2003 ENVIRONMENTAL HFALTH .DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> J�1�E:i'� tALTh STOCKTON CA 95202 <br /> ;T [;ERI%ICES (2fl9) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT •1Qi' ^auslNEssia.c>_rICY C� �G�� �� L 1 f',, <br /> ADDRESS <br /> PHONE _ � 1_�] FACMIAIL£ ----- <br /> TENTATtVE*ApmtNT?4ENT aATE <br /> (Please give 7 to 1tl business day s front darn of application sub4TI MI) <br /> r--t • 3 <br /> L-1C}ECX 60XTO EXPEDITE REQUEST-537.00 FEE-REQUEST';IROCESSM IN 3 BUSINESS CAY5 <br /> � l <br /> SIGNATURE OF APPUCANT 1 0411'* --6 <br /> FILE ADDRESS TBI.$SIIlt_IIID:TAPT-USE ONLY <br /> PROGR M ELE14ENTS SF-ARCH <br /> V _ <br /> III nj 94o KS 6b <br /> h)/)q 1 — M r=�.i lx9 <br /> rzQ / HERS k iLZw A rsE e c• J -- -- <br /> 12-76 L IVB- <br /> ENVIRONMENTAL_HE4LTH DIVISION FILES <br /> UNDERGROUND TANK(UST) CLEANUP Sri'!`(LOP) 0 HOUSING JWATEMEN T r'501.ID VFW E FAG-IUIY <br /> OTHER CLEANIIP SITE(NON-LOP) C7 FOOD FAC:LMj( 301.113 WAS M VEHICLE <br /> UN13ERGROUND TANK(motoTORiNG/itEMOVAL) ❑ DOG KENAiEL C DAIRY <br /> HAZARDOUS WASTE GENERATOR 0'CHICKEN VANC14 Q PKC;T,;EA'; jcma :,LANT - <br /> TIE4ED PERM#-MD FACILITY CI MOTELIHO FEL G' PUbipi:R TR,UCiC(YAMCHF-1''4'rC CLE .";I <br /> TATTOCfBODY PEIRCING 0 POOLJSPA C] LADjD;usE/iPFLXAMN snES <br /> MEDICAL WASTE FACILrrY 0 PUBLIC WATER SYSTEM 0 OTHER(PLL-ASESPECIf-YA;30VE) <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. , 'Ix to (2M!1644138 or maiito Ulu <br /> address Indicated above. <br /> EHD will notify the applicant if any EHD files exit;t- An appointment for raview 1p3 ccnfirmed <br /> approximately five business days but no later than ten (10) days after recelpt ae application. The fleas <br /> will be held for a maximum of five business days for review. Appointmen ,shaulsl tae s.hedIII d <br /> accordingly. <br /> A file that is actively being worked on by EHD st.rff may not be Immediately ava liable for review. A navy <br /> application'may be submitted when the file is av:Ailable. <br /> Any file not returned in the same condition as released will be reorganir-E!d by EHD staff at th'= expense <br /> of the applicanL Future fle reviews by the same applicant may require a$87-00 deposit prior to reVieVV. <br /> "TENTATIVE appointment dates must be-confirmed with EHD staff. <br /> Applications received aftP-r 3:00 pm will be prcc.sled the next business :Lay. <br /> :)NFIRMED APPOINTMENT DATE TIME <br />