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Jun •30. 2003 4:03PM CONDOR EARTH TECHNOLOGIES 111: 140 11 - I/I <br /> • I12' �,,,� . <br /> OATSREC�3V,L=Ov : 1.='.!i '.4!�i.-�11 i' ' 010I.OGPWM801 <br /> .'SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIC1:S <br /> JUN J 0 2003 ENVIRONMENTAL. HEALTH .DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> �A11E P4 1EALTH STOCKTON CA 95.202 355 <br /> c�Rt�ICES (2139)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT QQ Fi . ��-BUSINE S A:GENC�Y+_,� <br /> ADDRESS <br /> PHONE �? � FACS18ell-V <br /> TENTATIVE*AppowTlyt1~NTnAr _ ;> CU <br /> (Please ��- <br /> give T to 10 business days trc+rcy date of appiloation sub►riMal) <br /> r--t • 3 <br /> L-•-� cria"cl<BOX TO p(PtDl7'>~REQUEST-487.00 FEE—REflU>wST'j1FiOC>=SSED IN 3 BUSiNl=55 DI41'S <br /> a � <br /> SIGNATURE of APPLICANT 04 111 n�:;E-E _- 6 <br /> NILE AVORESS THF,SlIX 1:1.0;TAFF UZE ONLY <br /> • Pr:OGRMIf EL�]'AENTS=�11ftG1i <br /> v - <br /> Tr- ff/ �- U ! ►' --- <br /> Ir'�RSHLl�L - <br /> 5 t - V> <br /> ENVIRONMENTAL_HEALTH DIVISION FILES <br /> UNDERGROUND TANK(US7)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT } (SOLID W.Xi E rAC:1Ln-( <br /> OTHER CLEANUP SITE(NON-LOP) C FOOD FAc.:LrT�l �q( sOtAD WAS WE V11111CLE <br /> UNDERGROUND TANK(MONiTORINGIREMOVAL) ❑ DOG KI=NhjSL C DAIRY <br /> HAZARDOUS WASTE GENERATOR O'CHICKEN PANCH C1 PKC;T?ZEA';tr-ma r PLANT <br /> TIERED PeRmnTm FAcluTY 0 MOTELMO'rEL L' PUAIP1 R TP LJCiriYARrWC?F-IiI TC:)ILE<t <br /> TATTOC1BODY PEIRC2NG 0 POOL15PAi ❑ LAMD USE APPLICATION SnES <br /> MEDICAL WAS-E FACn TY 0 PUBLIC INAJ;R SYSTFEM C 07T{EFt(PLL.ASk:;iPEC3tYA3OV> <br /> List up to ten addresses In the space above. Select the type(s) of files from the list;lboVe by Checl jMg <br /> the appropriate box(es). At least one file type MUST be selected. , iix to 38 or maillo the <br /> address indicated_above. <br /> EHD will notify the applicant if any EHD files exi:,t. An appointment for raview vill be ccnfirmed <br /> approximately five business days but no later than ten (10) days after receipt ori'application. The file:; <br /> will be held for a maximum of fere business days for review. Appointment.•shaulrl be s.he-duled <br /> accordingly. <br /> A file that is actively being worked on by EHD staff may not be Immediately ava ilable for review. A new <br /> application'may be submitted when the file Is aV:lilable. <br /> Any fde not returned in the same condition as released will be reorganiZEA by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 de-prisit prior to review- <br /> "TENTATIVE appointment dates must be-confirmed with EHD staff, <br /> Applications received after 3:00 Pm will be procrissed the next business day, <br /> DNFIRMED APPOINTMENT DATE TIME <br />