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Sep•24.' 2002 11 :35AM CON-AOR EARTH TECHNOLOGIES � � 131 P <br /> cwr&a�vm <br /> �MNU 7 <br /> SAN JOAQUIN COUNTYPU13LIC HEALTH SERVICES [9 E77, �f]r�) <br /> ENVIRONMENTAL. HEALTH DIVISION 1 <br /> 304 EAST WI~81R AVENUE.THIRD FLOOR <br /> STOCK'TON CA 95202 SEP 2 4 2002 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> S SERVICES <br /> APPLICANT ° SUSINESSIACENCY <br /> - r�-zse- <br /> ADDRESS Is3� <br /> PHONS FACSIMI.E . <br /> TENIATiVE`APPOINTMENTDATE TIME <br /> (Plrssa give 7 to 19 buskw" --m of cation subrrWtal) <br /> CHECK BOX TO EXPEDrM REQUEST-$87.00 FEE-REQUEST PROC SSI& �U5IAESS DAYS � <br /> i <br /> SIGNATURE OF APPUCANT DATE K o <br /> FILE ADa� IS S TH51sT;EHO STAFF USE 014LY <br /> R�RAN EN ENTS <br /> PsI�m <br /> GO 4S <br /> s , <br /> o s. <br /> h4 014to <br /> s <br /> ENVIRONMENTAL HEALTH OIVISION FILMES <br /> umne aROum TANK Ws7)CLeANup s1TE(Lop) Q HQUSWG AsAT NT 9�-SOun,WASTE FACWTY j <br /> OTHER CLFAMP SrM(NON-LOP) I M Foos)FACILITY ❑ SOUL)WASTE VEHICI.Tx" <br /> 1JND9RGROUN0 TANK(MCN1TOR24GJF M(NAl`) ❑ AOG KENI&L Cil .DAIRY <br /> kr HAZARDOUS WAS7EGENERATOR 13'CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> Ifi TIERED PERMDTEU FACILrrY O MOTELIHO•kEL 1:1 PUMPER TRUCKIYARVXHEM TOILETS <br /> O TATr0CM0DYPEIRC1NG Q PdOUSPA A RAID USEAPPLICAVON STIES <br /> MEDICAL WASTE FACILITY A PUBLIC WATER SYSTEM ❑ MF-R(PLEASESPECWYA$OVE <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(esj. At least one file type MUST be selected. Fax to 209 464•-01at -ta the <br /> addEM Indicat a v <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 later than ten(10) days after receipt of application. The riles <br /> will be held for maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 1. A file that is actively being worked an by elD staff may not be Immediately available for review. A new <br /> application may be submitted when the file Is available_ <br /> 1. Any Me not returned in the sande condition as released will be reorganized by EHA staff at the expense <br /> of the applicant Future ftle reviews by the same applicant may require a$8T.00 deposit prior to renew. <br /> L "TENTATIVE appofntmerit dates must be.confirmed with EHD staff. <br /> L Applications received after 3:00 pm will be processed the next business day. <br /> rONFIRMED APPOINTMENT DATE TIME <br /> )ATE CONFIRMED PHONE FAX IMMAI S �. <br />