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Jan -.30- 2003 4:03PM CONDOR. EARTH TECHN01-MES ,�; Nr, .i.I40 "P <br /> n,arsAMr:iv>°a-'- <br /> J.OAQUIN COUNTYPUBLIC HEALTH SEIRVICI.zS "'1°�acH�raB�z <br /> JUN0 2003 ENMRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOQR <br /> rE,`F i `IEA TH STOCKTON CA 95.202 <br /> :;; , ERVICES (2119) 45$-3420 1355 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT f2- <br /> 2 �s�SUSINF-sla.GrNCY <br /> ADDRESS <br /> PHONE <br /> TENTATIVE4 AppgslkTMENrI ]ATE - J L T7e� <br /> (Please give 7 to 14 business days frart}data of appil�ation sulsetd7:pl) <br /> CHECK BOX TO EXPEDITE REQUEST.S87.00 FEE REQUES r'3ROCESS D IN 3 SU31NC-SS C,kYS <br /> koll Ia <br /> SIGNATURE OF ApPUCANT � (441+11 0AriE 6a - <br /> Frr r=ADt3ItE8.S Twi Slbi.Ji ;.TAFF USE ONLY ' <br /> PROGIZhM E1 EYAENT3_Eman <br /> 1r, •, <br /> �7• IJIz <br /> A6k Mawy` <br /> ENVIRONMENTAL HEALTH 1 VISION FILES <br /> UNOERGROUtW TANK(UST) CLEANUP Sr+E(LOP) C] HOUSING JOATEMENT rSOi.ID Wl:i E FA,_:rLnY <br /> OTHER CLEANUP SrrE(NON-.LOP) 0 FOOD FAC:Lr1Y �f 301.1D WL1 i�1E 1lEI'11CL� i <br /> UNDERGROU14D TANK(I ONITOR1NCl12>rMOVAL) 0 DOG KEMIEL ❑ OA fry <br /> HAZARDOUS WASTE GENERATOR C1 CHICKEN I1 ANCki a PKc T:tFA•I reerr it,, ANT <br /> TIERED PE3 fITED FACILMY 0 MOTE11HO'rEL C PUb IYt:.lt TkvcjQyARLvCH9j*TOILETS <br /> TATTGOSOdY PEIRCING ❑ PdOL15PA 0 LAISLD USE APPLICATION 5nE5 <br /> MEDICAL WAE FACILITY O1'PUBVtifl+7�i <br /> IC R SYSTEM C)T#IEFt <br /> ST (PI.I:ASF::iPEGiF7q`30VI`} <br /> List up to ten addresses In the space above. Select the type(s) of files ftarn th(�list;shove by checking <br /> the appropriate box(es). At least one file type MUST be selected. , Lix to or mail 10 the <br /> address indicsted_;Rb- v9, <br /> END will notify the applicant if any EHD files exiat. An appointment'for re:viewr 1166] bI� ccnfimted <br /> approximately five business days but no later than ten (10) days after receipt W application. The files <br /> will be held for a rnaximurn of fsve business days for review. Appointment.-,should be sr„heduled <br /> accordingly. <br /> A file that is actively being worked on by.EHD staff may not be Immedlatraly available for review. A nfiv <br /> application'may be submitted when the file Is aysxilable. <br /> Any file not returned in the'!same condition AS released will be re:oi ganize d by 1:I-D staff at th'_ expense <br /> of the applicant- Future file reviews by the same applicant may require a $87.00 deposit prior to review- <br /> 'TENTATIVE appointment dates must be-confirrned with EHD staff, <br /> Applications received after 3:00 pm will be processed the next business ;lay. <br /> ONFIRMED APPOINTMENT DATE � � TIME .�--...—.----� <br />