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AN JOAOUIPECEIVOironmentai Health Department <br /> MAR 2 3 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> <� u' EHt] LOG OdUM®ER.18*A&4 <br /> APPLICANT- Chris Olsen BUSINESSIAGENCY7 Partner Engineering <br /> ADDRESS: 486 Larkin Valley Road CITWSTATE21Patsonvl Ile, 016 CA 95 <br /> PRONE11]: - PRONE 12), FAXORE-MAIL M 3FinU50ISEn@9rYlall.E0M <br /> Please allow 110 business days from date of application submittal for the records lobe available <br /> Staff will contact you t inlenl date rranpe and tithe to rt;view the requested records. <br /> s <br /> SIGNATURE OF APPLICANTDATE 3-34-1$ <br /> 1. List up to ten addresses m low Spa ass ranges WILL NOTa acc�epte select the type sa of files m the <br /> list below by checking the appropriate boxIesi. At least one file type MUST be selected. Fax to 12091494-013&mall to the <br /> address indicated Wow,or email to infogi�sicehd.com. Applications received after 3:00 pm wilt be processed the next <br /> business day. <br /> 2. Far assislanee in ldantcfy ing the nature and content of EHD rscords.please contact END at the number rwtett below. <br /> T; The EHD will notify the applicant if any END filers exist. An appointment for review will be confirmed approximately ten i 101 <br /> days after receipt ad application. The files will be held for a maximum of five busirmss days for review. Appointments <br /> should be scheduled arcardingly. <br /> 4. Any rite not retumed in the same condition as released will be reorrganimd by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 5152 deposit prior to review. <br /> WELL AND SEPRC PERWT RECORDS ARE AVAILABLE FOR RFAEi1I: MONDAY-FRIDAY BAN AN-5:00PM tEXCLIfDHIt,HOUDAYSI <br /> Electronic Infcrrnalion: ❑ List Ma —Descri tion_ <br /> Speaifmc DateRange of Information Requested From to <br /> ENVIRONMENRAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES gIsp -ft slllrxes wry,s73r_v-.mlaen wo mat be QEMP t&n' EHD t.3 E E ONLY <br /> atmel0 ntmel Name City <br /> _.raid,Eke{Wft ❑I:": _- <br /> fX.=rm rl-�30,,hh:�_ 1145 South Aurora Street Stockton <br /> • 3 tea:n* work 11- <br /> f3 T;gym Fe.VLm FA-.iri <br /> 3r�� tMmn <br /> A-hM1" Ta <br /> irTJ _ SJr` I'iM NW.�1b l <br /> LLr=ET luui=me r:�41 �..,..,_. <br /> 94 a ' Mem z 3 <br /> �t Epi i aelem nfz .vr <br /> Q adG�Aide r-a_trr'vM,4Jea <br /> 62 <br /> ❑i=Fr^• ' <br /> ©Fuel: <br /> Lana UW Xwtjut 3L: <br /> © <br /> Seca P,=v Tc6. <br /> i r <br /> You;Chelr:aiTier AL <br /> ij rNAAr i:lrm Furs C[ra <br /> I-1W-Wire AtaewJ * _ 1tMi,om <br /> 171 rampk 10 <br /> ' Q L-dS�q,Trcr:Dy rcnv <br /> j <br /> e u•r <br /> C3 aerr:vamn Fav r <br /> Ti"Mauer a mu m C1�.°_e rSAtTI <br /> F1 Wear Tie n <br /> 11]C^ATz�nDOI <br /> rt <br /> --no tEy AREA-cKp uar ONLY-- <br /> El Records provided by Staff-PPR Coln ate. ten <br /> IBM E t4,zaaan Awv>6i I 'ncti")n T -w.'=;66-_a426I F 209 40- IRA oebv slc hi: r_o�i <br />