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U4/0b/2006 16:59 13107x"2841 <br />k';d"!/2i106 12:45 464 q PAGE 02 <br />DATERECENEG � <br />ENVIRONMENTAL ��7H PAGE 01 <br />_ <br />SAN JOA,(20N COUNW 6Ha LOG NV tTcK <br />I D E+ NVmoN NTAL REALTl DuA RTMENT <br />=�cu `— 304 East Weber A.ven=, 3"4 F100r, Stockton, CA 95202.-2708 <br />Telephone- (209) 468.3420 Fax., (209) 464-0138 Web: www,sjgov,org(e,hd <br />T PUBLIC RECORDS RELEASE APPLICATION Z?o "74 <br />ac.t(l <br />�AfflT� � t3USiKE33lAt3ENCY: � j� <br />A PRO : L Cir TAU. <br />PHONE (I FACSIMiL --fni <br />TENTATIVE* APF01K M oATE: Time: <br />(PIGMa allow 10 businetm daye h ort daft of appfica o; stlfmliaal - "7bn only - must ba caRflrmecii <br />❑ MECK BOX To ©(PEorm <br />'SIGNATURR OF APPLICANT <br />173 Llat O WW - Rtlo <br />MF; (CASH OR CH150K ONLY) - MQUEST FROCI..BEaFM W 3 BUM= DAYS <br />GATE -- <br />41S <br />Q <br />EHO USE ONLY <br />0 Unix 1 <br />❑ Unit 2 (l� <br />Unit s <br />❑ Unit 5 <br />- Unit 6 <br />Spe0lc Data Range of Information Requestacl: From to <br />ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />X(MIERerconNDTANK {US11CLSANW9ma(LOP) MHousmaAaAltnEw XCXMWAMPAauTYtvmnrau <br />&VOTrraR CLEA149F STre (ft -LOP) ❑ FOOD FA9WtY wAasr ?11M <br />.°fid MORRMUND TA1Nc A1.) Q Doc KaNmt. O DAMP <br />WKAZASDouD WAnE QZWpATDR Q CN*mm RAM" �WA87E ;Z TNI,AtiAENT Pt.Arrr <br />0 TMAED P31wM0 FAGiLrrY C Mur"=L 0 PU[iPER TRU4K�YARD/GREIKICAL TOILETS <br />O TArraeMoDY P,mma Q POWSPA 17 LAM Usk A"LvATm SMD <br />WMA WAMFACIUY ❑Oi'aK(PLEME3Pa iFYl <br />WtU ANDSC"G PERMM RECORbs Ap>r AYAttAst.S F'Obz REVIRW • MONDAY -FRIDAY l 00 AW5.00PM - RxcL=wc HQtroAM <br />1. List up to ten addresses in the spare above. Select the type(C) of %Fes from the lint above by checking the <br />aPpl>xdate box(es). At leest ane file type MUST be setacted_ Fax to (209f 484-0138 oraif to tl a2!_ dreams <br />Fndi 92gAbgve. Address ranges will not be a=epted -- for additional aaaFtstance with file address, contact <br />the EHD. Applications received after 3:00 pm will be pr+ocesaed the next buslneft day. <br />2. The EHU will notify the applicaM if any END files exist, An rapprointmont for review will be confirmed <br />approximately ten (10) days after receipt of Applicaftm The files will behold for A maximum of five businm <br />days for review, Appointments should be scheduled accordingly. <br />3. A file that is actively being worked an by EHD staff may not be immediately avallable for review. A new <br />aQp1ic06On may W submitted when the fiiie is available. <br />4- Any file not returned in the same -condition as released will be reorganized by EHD ataif at tha expense of the <br />applicant. Future file roviews by the sancta applicant may require a $98.00 deposit prior to review. <br />END A4 -ft <br />I*Wr cos <br />