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"'May . 27 . 2003 4: 21 PM CONDOR EARTH TECHNOLOGIESCOUNTY <br /> __... <br /> / <br /> El�20NMENTAL HEALTH DEPART <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> MAY E 7 ZOOS STOCKTON 95202 "' <br /> (20E)468.3-3 420 <br /> -NVIRONMENT HEALTH V <br /> PUBLIC RECORDS RELEASE APPLIGATI <br /> 7r <br /> APPLICANT BUSINESSIAGENCY eDtJbaA?=T-I <br /> ADDRESSS� I g� t."0.A tali... �. imr C(P.-'(,.t- <br /> PHONE(_•,. .fit'{ Qt: Lp—FACSIMILI: 93t( ` <br /> TENTATIVE'APPOINTMENT DATE--d,-JL)Jqe 2066 TIME _( : Ot7Onvr 3( <br /> (Please give T to 10 business days from date of applleatlon sut"Mal) L 2 <br /> HECK BOX 70 EXPEDITE REQUEST-$09.110 IEE REQUEST PROCESSED IN 3 BU91NE39 DAYS 'T �� - ) L{ <br /> it <br /> SIGNATURE OF APPLICANT _ h CUTE <br /> FILE ADDRESS 1•HIB EIDI=EHII STAFF USE ONLY <br /> PRO( <br /> -7R/iM EI EMENTS SEARCH <br /> a 'n 51 Yt'5r% — 1t) f- _ 132 <br /> �•f Ql+rye I <br /> .r <br /> LI <br /> JAI, jj!2noMJ /J 3- <br /> r T o <br /> 5 Jr3t . <br /> — <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSIFIG ABATEMENT iOi.1D VeAST'E:FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 11FOOD FACILITY ::OLIO V%A.STE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KHNNEL 171HAIRY <br /> HAZARDOUS WASTE GENERATOR 13CHICKE.N RANCH ❑ I'KG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELHOTEL ❑ PUIIPER TRUCWYARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING ❑ POOUSPA 0 I.MID U!E APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) _____. <br /> 1. List up to ten addresses in the space above. Select the type(s) of filen from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to20 q 464-0L138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD flies 9xist An appointment far review will be confirmed <br /> approximately five business days but no later than ten (10) days after reueipt of application. The files <br /> will be held for a maximum of five business ciays for review. Appointments*hould bre scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately uvaitable for review. A new <br /> application may be submitted when the Ille Ie available. <br /> 4. Any file not returned In the same condition an released will be reorganizaed by EHD staff at the expense <br /> of the applicant. Future file reviews by the sslme applicant may require a$8P.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 business day. <br /> CONFIRMED APPOINTMENT DATE . _ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> arsvmoa <br />