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Apr • 17 . 2003 10:38AM C_O"DOR EARTH TECHNOLOGIES � No-3434 P• 1/1 <br /> AA Mao <br /> ii _, -:.2 E;,I1'�� �_�I��)SAN JOAQUIN COUNTYPUBLJC HEALTH S>~R1(IC•E!S ` u <br /> APR 1 ,7 2003 ENVIRONMENTAL HEALTH DIVISION � <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> t.NViI1uI`,4 TIENT HEALTH STOC}CTON CA 95202 <br /> PERMIT/SERVICES • (709)468-3420 i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APf~UCANT Q a' � :P _SUSffiF JAGXICY <br /> AL70EtE5S ��7� S� <br /> PHONY _ S..L.1 L FACSWL E <br /> TENTATIVE APPOINTMENT DATE J;27 l'"l ---03- TmE <br /> (Pie=*give 7 to Id buWne9a:days tram date of appllcativn su ;ij:Xq <br /> 171 CHECK BOX TO EXPEOrM REQUEST-$87.00 FEE-REQUEST PR0C>rS W 1N 3 61.13 SS DAY$ <br /> SIGNATURE OF APPLICANT 9 ._ DATE 1L a'?> <br /> Fill=ADDRESS THIS SIDE E:l iD STAF�:u3rc aicy- <br /> PRDGRAM F-1-84ENTS SEARCH <br /> Sod , <br /> 7tre, Ave. <br /> 1. bb <br /> ENVIRONMENTAL HEALTH DMSION FILE$ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 4 HOUSING ABATEMENT sOIJD WASTE VAC ILI Y ►�� f j/ Y <br /> OTHER CLEMI)P SrM(NON.-LOP) ❑ FOOD FACILrry C S01.ID WASTE-V1.1.11CLE /p <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O nmky (,Nl <br /> HAZARDOUS WASTE GENERATOR ❑•CHICKEN RANCH 0 PKCI TI'IFATURIT PLANT <br /> TIERED PERMITTED FACILITY 13 1410TELMOML. © PUNIPCR 1RUCIVARMCHEIII TOILF_T- <br /> D TATTOOVISODYPEIRCING b Pa4LisPA - a LAND USE APPIJC8.71ON six>E:s <br /> 13 MEDICAL WASTE FACILITY © PUBLIC WATER SYSTEM 0 O"n-im(PI rwsa sAECIFY AliOV ) <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(es). At least one file type MUST be selected. to VX164(11 8 or m: it to the <br /> address indicated above. <br /> 2_ EHD will notify the applicant if any EHD files exist. An appointment for rntv'-ew will tie confirmed <br /> approximately five business days but no later than ten (10) days after recel13t of application. The files <br /> will be held for a maximum of five business days for review. Appointment:;should b4e Scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHV staff may not be lmmediatuly, avaliable for revi4w,r. A now <br /> application may be submitted when the file i.-s available. <br /> 4• Any file not returned in the same condition as released will be reorganized by EHD.staff at tho expOn_al <br /> of the applicant_ Future file reviews by the same applicant may require a$FI'T= dermsit prior to review. <br /> 5. *TENTATIVE appointment dates must be-confirmed with EHD staff, <br /> 6. Applications received after 3:00 pin will be p.rocpssed the next buslne*s t:la, <br /> CONFIRMED APPOINTMENT DATE TIME <br />