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Jun .30, 2003 4:03PM CONDOR EARTH TECHNOLOGIES _ N1: • 1.140 13 - lil <br /> 0475 RECk3Ve� 1' , li 1,Y1 fr 010 LOG MUXSER <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> JUN J 0 2003 ENVIRONMENTAL. HEALTH 01VISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> dINIEN'f HEALTH STOCKTON CA 9521)2 1 :355 <br /> !;T'''iERVICES (209) 468-3420 <br /> f PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT„QQFq,+m.l�L SUSINESSMG)_NCY <br /> ADDRESS 1�8 ��� 3•G'* `�SC�'( S� �;.t :�_ .t�.l .—R...-----�i-�..iv-.x.`rl}�`._ <br /> PHONE , --FACSI14ILE_ <br /> _ _ l <br /> TENTATTVE"APPOINTMENT DAYS -; n Tit": <br /> �-- (Please give 7 to 10 business days ft daof appllcatiosubetit:w) <br /> 71t CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST hROCESSED IN 3 BUSINESS C,4T5 ��� a , ✓ ' <br /> SIGNATURE OF APPLICANT ( q n i.� <br /> FILE ADDRESS THt351Ut .'-rD :17 11aE ONLY <br /> PROGRMt ELEMENTS,SEARCH <br /> 1�8 ) Mr-,xi hoClnJo S617U T <br /> N iCI IJJ, n <br /> T®P-s Avim., Of <br /> 4Q l 1°ERS kW &9(-- <br /> AW. — --- <br /> 4 r'-- — -- <br /> 511 F)GtFIC� - <br /> 1 <br /> ENVIRONMENTAL_ HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST) CLEANUP SITE(LOP) ❑ HOUSING)WATEMENTJ��501.10 W MTM FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FAC:LrrY �t SOLID WA_i M.VCHICLB <br /> UNDERGROUND TANK(MONITORING/RfMOVAL) ❑ DOG KENNEL C DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑'CHICKEN FANCH 0 PK(ITREATIN!U'r PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEL(HO FEL C PUPIPLR TF..UC)eIYAMCHEIA T011£FI <br /> TATYOCIBODY PEIRCING ❑ POOLIZPA - ❑ LAPID 413E APFAL,'CATK)N SITES <br /> MEDICAL WASTE FACILITY ❑ PUBLIC WI,TER SYSTEM ❑ OT}IEIt(PLEASE;SPECIF"YA30VE) <br /> List up to ten addresses In the space above. Select the type(s) of files ftorn thll list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. , jix to_j2p�,{tt4•i)138 or mail to the <br /> address indicated above, <br /> EHD will notify the applicant if any ENO files exist An appointment for r.-tview,t7i31 be ccnfimled <br /> approximately five business days but no later than ten (10) days after receipt trr'application. The flies <br /> will be held for a maximum of five business day!; for review. Appointments:ahnUld bre s;heduled <br /> accordingly. <br /> A file that is actively being worked on by FHD staff may not be Immedlataly ava liable for revirw. A nnim <br /> application'may be submitted when the file is av:Ailable. <br /> Any file not returned in the same condition as released will be reorganized by FFD staff at the expense <br /> of the applicanL Future file reviews by the same applicant may require a $87.0(' deposit prior to review_ <br /> 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day, <br /> DNFIRMED APPOINTMENT DATE TIME <br />