Laserfiche WebLink
VA7MaY .27. 201013 114::21PM CONDOR EARTH TECHNOLOGIES Wa.c�30�°°"'l� . i/1 <br /> In�!_-C l� ll �i L� ��ii Eh tONMENTAL HEALTH DEPARTM641T <br /> 304 EAST WEBER AVENUI`,THIRD I=LOOR <br /> MAY 2 7 2003 STOCKTON CA 95202 <br /> ' (20v) 468.3420 <br /> NVIRUNMENT HEALTFl PUBLIC RECORDS RELEASE APPLIGAT110 � <br /> — .. ,. _ <br /> NDo } ' <br /> APPLICANT gUSINESSIAGENCY .�- �,AJzsr: --' <br /> ADDRESS � IF\AN -- (� ;cr �(FtG! lT�c"1� 1 <br /> PHOF(ir 0J PAC SIMILE" _ �'3Lt <br /> TENTATIVE"aPPoiNTwla_Prr DATE _ F_..ADD 3 TIAAE 1�13e)/3( � <br /> (Please give T to 10 business days from date of application skihm tal) <br /> Ct3ECK BOX TO EXPEDITE REQUEST-$89.DO PEE REQUE.3 T PROCESSED IN 3 BUSINESS DRYS ;"q <br /> r ; <br /> SIGNATURE OF APPLICANT _ w�i � �� W DATE= <br /> FILE ADDRESS THIS VDH EHtc STAFF USE ONLY <br /> PROOFUt i EI.JEMENT i SEARCH <br /> Tc:!ew Uri <br /> vie <br /> Qu <br /> ff " -y S <br /> 17 <br /> 1!6 n— <br /> ENVIRONMENTAL HEALTH DIVISION F6LES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING A13AT'EMENT1 <br /> ;01.10 WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0-1.;01.10 WAS-M VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ UA IRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH E3F'K(;TRIE:ATIARNT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEL'HOTEL ❑ P1,194PEFt T'RUCWYARD/CIIF-M TOILETS <br /> E3 TATI'OOfBODY PEIRCING ❑ POOLISPA b t.ATiD ui:E APPLICATION SI ES <br /> 0 MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY} ___ <br /> 1. List up to ten addresSeS in the space above. Select the type(s)of filed from the list above by checking <br /> the appropriate box(es). At least one file typo MUST be selected. Fax.to aQ- !l04-0138 or mail to.the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHO files exist An appointment far review will be confirmed <br /> approximately five business days but no later than ten(10) days after re-ueipt of applicatio n. The files <br /> will be held for a maximum of five business clays for review. Appointments:Ihould bo scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHO staff may not be immediately;Ivalilable for nwlew. 'A new <br /> application may be submitted when the flie it.,available. <br /> 4. Any file not returned In the same condition a:i released will be reorgartizad by EMD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may requira.I$81P.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 buslnetm day, <br /> Ir <br /> CONFIRMED APPOINTMENT DATE TIME - <br /> DATE CONFIRMED PHONE FAX IN]TIAL i <br /> REVIEWED YES NO REVIEW DATE <br /> clic ea.o:-0oe <br /> �e+zooa <br />