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Aug -28. 2003 9: 1 6AM CONDOR EARTH TECHNOLOGIES No 4816 P• W <br />E JO*UIN COUNTYPUBLIC HEALTH StICES <br />Ir- N <br />ERD LOG Nums" <br />$A <br />ENVIRONMENTAL HEALTH DIVISION <br />AUG 2 9 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />ENVIRONMENT HEALTH . (209) 468-3420 <br />PERMITISERVICES 1PUBLIC RECORDS RELEASE APPLICATION <br />�_ 00ft <br />APPUCANT . 6: C <br />rq___F;,9_9 W_VV.4dA7_,SUSINE331AGEICY <br />PHONE., FACSIMILE <br />TENTATIVE* APPOINTMENT <br />(Please give 7 to 10 business &yb from date of application wbfnl") <br />CHECK BOX TO EXPEDITE REQU - 87.00 FEE — RQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />[am <br />THIS SIDE f <br />PROGRAM <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) CJ HOUSING A13ATFUEMT SOLID WASTE FACILITY <br />OTHER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY SOLID WASTE VEHICLE <br />fUNDERGROUND TANK (MONITORINGIREMOVAL) C1 DOG KEN14EL ❑ DAIRY <br />HAZARDOUS WASTE GENERATOR O'CHICKEN RANCH C7 PKG TREATMENT PLANT <br />TIERED PE"n"TED FACILITY C2 MOTELiHOTEL Q PUMPER TRUCKIYARDJCHEM TOILETS <br />TATTOOIBODY PEIRCING d PdCLAPA 0 LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY gr PUBLIC WATER SYSTEM 0 OTHER (PLEASE SPECIFY ACOVE) <br />1. List up to tan addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0130, or-mafflo the <br />address indicated above. <br />2. EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of five business days for review. Appointment$ should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />4. Any file not returned in the same condition as released Will be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $87.00 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 clay. <br />RL <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />