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s� <br /> JUI . 2 5' PM CONDOR EARTH TECHNOLOGIES r`- No.0.304 P-.• 1/I <br /> DATE REC <br /> SAN•JOAQUIN COUNTYPUBLIC HEALTH S RVICES a+eLOGNumBeR <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 3 <br /> 02 Ji STOCKTON CA 09 68--3420202 <br /> ( )4 <br /> 8� 1 I PUBLIC RECORDS RELEASE APPLICATION. <br /> APPLICANT lv l a r i lC y yr SUSINESS/AGENCY C.OYL 1± ��I `p j <br /> ADDRESS ISS -Y c CA cTSZQ tm <br /> PHONE 2.09 - 2 3 - OS 18 _FACSIMILE 2 a 011 -. 2.3 <br /> 21)41 _ (.61 --6 ( <br /> TENTATIVE*APPOINTMENT DATE �' i a 2.. TIME <br /> (Please give 7 to 1�0 b�iee aPP1 on Submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE..FtEq,grP p OCI; IN 3 B S1N S <br /> >; S DAYS <br /> SIGNATURE OF APPLICANT DATE `J A Z <br /> FILE ADDRESS THIS SIDE EHD 41TAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> tot ook id¢. l�oA .lbw {ten <br /> /0 91 Men c i vi c� f'. Gil. <br /> ofd 0.Wa✓Q AVQIA D ., <br /> 3 3 6 <br /> zss 1 W. A ti 1 <br /> 1 1�.0 �e,. �D Q ✓r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E3 HOUSING ABATEMENT C! SOLID WASTE FACILITY <br /> OTHER CI.1_ANUP SITE(NON-LOP) CI FOOD FACILITY Q SOLID WASTE VEHICLE <br /> L� NDERGROUND TANK(MONITORING/REMOVAL) . DOG KENNEL DAIRY <br /> G �I <br /> JUA (M <br /> ZARDOU$WASTE GENERATOR E3Cl <br /> ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> CU-TIERED PERMITTED FACILITY 4 MOTELlHOTELPUMPER TRUCK/YARD/CH)~M TOILETS <br /> TgTT00/30DY PEIRCING ❑ POOUSPX 13 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM CI OTHER(PLEASE SPECIFY ABOVE) <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 12091464-013th or mail to the <br /> addrQsa 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 Inter than ten(10)days after receipt of application. The files <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 m4*y not be Immediately available for review. A now <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. *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 /> DATE CONFIRMED PHONE FAX INITIALS <br />