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06/02/2006 10:31 120994F- '80 MINIMAX ECR/POS PAGE 02/02 <br /> 06/02/2006 10:00 4640138 0"JVl1l1U1lV t;UUNf1 AL HEAL;,i 2AGE Ell <br /> ENVIRON)UN1'AL REALTH DEPARTM,EIV'!,' <br /> 304 East Wein(-3420 Avwuc,3id door,Stockton,b. 95202-2708 <br /> V.Qr ebd Z3ctq3 <br /> Sdephoae:(209)468-3420)"'aa:(209)464-0138 Wcb:www•sjgo •Oc$/ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLK:ARr:e r T-1'"s afSS DUsat WArF!tCra e� <br /> AWFESS: 3 6 y N• ate: S t- q1Y, -S-)-v�.l<•F�N _.SBAT��G �y"jam. <br /> PHONE or. `f n 3— Prtow w `�— <br /> TEHTATIVEaAPPOWME.NTDAM, !Ser ! G f vKr Tlmc <br /> Fkwe asbw 7o bwMeW dare from dada or W1000a submMal-'7404W W only•malt bP onnnrmRd) <br /> t2 CHOCK DPT TD WwWrl!REQUEST-L92.w FEE tOAnSH OR CHECK ONLY).MOMT PROCPSSED at a stlswo$DP,Y'4 <br /> BtGNATURE OF APPLiGANT V,f 7 DATE <br /> rwkmeAtlad � l.lat f]EI�.rtrotl, _ - _ �^^1 <br /> FILE ADDRESS Elio USG ONLY <br /> Slceal ae E&W N"w CRY - <br /> I 1• ;1_ r / © Unit 1 <br /> C7 Unit 2: \� <br /> 4. \ <br /> 6, ;eUrlf1 rs � <br /> S• — Uri)t 4 <br /> T. _ <br /> B. O Unit 5 <br /> 9. <br /> 9D. - [ Uillt 6 <br /> Specific"t Rinke of Infotmatiom Requested:From — D to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILM . <br /> IDmERWrA='fAAK(u5T)QENWSat(LOP) OHOtRegWTERW 13 Saw wAaw FACIXTIVOIC0.. <br /> )EI DTWR OLWW'SMWMLOP) 0row FAmm UWASTETIaE <br /> G77 W=AQn0UWTMK(M7aAVW IW AQ M Doc KoRim (3 DAM <br /> pa HArm=mWA=(,cmmAToR r1cNrt{=Rwh ElwASnimaEnTWAIRMRAW <br /> Tos r PMUMED rACKM ❑Mor[UHOM O P:IW%R WY:4YAF 1CH�TailseP <br /> M TATr000OOY Mew. 0PCOUSPA 0 LAm W,ArrL=ronsmre <br /> Ci MEwALWAsw FAAa.nx ❑OTeM(P CAMSM=M -. <br /> VMLAASM'MPEWTP=C RMAMAYAKAEUFMEtElM-MONDAY FJDAY6:Q9A1V5, 0mWAF�7uMTa- <br /> 1, List up to tan addressas In the spare above.. Select the type(s)of files from the list above by cher kink thQ - <br /> appdopriata box(es). At least One file type MUST be eelected. Pax to(2091404-0j1&vr maUa the add mss; <br /> )nd'rcated above. Address ranges w ll not be accepted—for additional asslstanae with Ilia-1114dril ¢5:,tantatt <br /> the EHD-Applications received after 3:00 pen vAll be processed the next buxinew day. <br /> 2. The RHD%sill notify the apptieant if any END filos wdct. An appointment for review wfil be confirmed <br /> approximately ten(10)says after receipt of application. The Iliac will be held for a Maxi mum of five business <br /> days for revitwr. Appointments should be scheduled accordingly. <br /> 3. A fiie that im naivety being workers on by EHD staff Fray Who immediately avalt9ble for review. A nrw <br /> apppcallon may be submitted when the file is available, <br /> 4. Any file inet returned in the same wndiUon as released will be reorganized by EHD staff all the expen:re Of ihr, <br /> applicant. Fixture file reviews by the came applicant may require a$93.00 deposm:prior to revlow. <br /> Nti <br /> 6!W Aai6 <br /> 1oryl�r <br />