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12/11/2006 14:35 7074526 JEANHUGHES PAGE 01/01 <br /> 12/11/2006 11:2.6 209464 <br /> 5 ENVIRONMENTAL HEAL PAGE 01/01 <br /> _ EtiD I.DG Nw=R <br /> SAN JOAQUIN COUN';<'k <br /> rNV RoNNuoTALHEAL' DEPARTMENT . <br /> DEC 1 12006 304 East Weber Avenue,31 Floor,Stacictou,CA 95202-2708 L <br /> Tdghane:(209)46$-3420 Pant(209)464.013$Wah:www4gov.otg/ <br /> ENVIRONMENT HEALTH ' <br /> SERVICES ,PMLIC RECORDS RE'LEASE APPLICATION <br /> APPLICAMr: BUSiNF.SSIAQEttCY; <br /> ADDREBsr ` p <br /> PHONE(tr PHONE'(21: __FAGSINIII.E: �• r�• •I1 <br /> TE(1fATlY�"APvpNTMeNrDArfi i21G&DcP nme b — I a — Z ? 7 <br /> ' (Please snow t0•busimras days from dak of epplbatlom suhmitlsl- ionmdve only.mint bD <br /> ❑ OtiF.CiC 8DX 1d Mrm REt$1EST•;48.aD FEE( CHECK LY)-REOMST PRS IN 7 0 SIN S DAYS <br /> SIGNATURE OF APPLICANT DATE 2 I t O <br /> EtDatronlc Information: ❑list❑ paaaHpdian: <br /> FIEF,ADpIiE>33 EHD USE ONLY <br /> Strad0 stroat-momw TUMI1 <br /> 1. to <br /> r �/ ❑.Unna <br /> U �Unh2 <br /> 4, u <br /> 6, MOA---T&40- nit 4 <br /> IA �V <br /> 9. Q twi; <br /> I0: <br /> specific Data Range orInformauen Reg4dctod=From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIWS <br /> O Housma ASAMMEM ©SOLIOWASTIPAGrJn2llfP.lM <br /> ORDUIDTANIC(UST)0.PJwuPStIEQOPJ ..•.` <br /> J_PIpttN AKWSM#4i0HA.OP) OFmD FAGLD•r ❑wAste Tine . <br /> vousWAS RrORNI moRwolRlrswAW tl em a DAS <br /> DDus WAaie GeNr3rAtew 0 WA3tawAY6N TnFAiM&trPWddr' <br /> TEM PPAMrrasa FAMM Q Mo el4(o nY A TpnCpYARD/amuTaesrs <br /> O TA'1'rD0.'9aDYt�51td>1Q J2rPOOLISPA pp rJ4 1)sr,•AP AGA710gBRIS <br /> 0 MOMA WAM FACeff 11 DWER(PUFASt SPED ) <br /> Wpm Atm SMIK PMV RSMRD$ARI AYAM MPM 111ME.W- M01DAY�FAIDAY 4:00 4;W M - LULO MHOLIDAYS. <br /> ' 1. List up to ton addresses in the spam above. Selectthe type(S)of files frenn ft psi above by chocking tit apptoprl2t0 <br /> box(es). At least ons file type Must be selected. Fla gyp,0Lp gjAja9 ori the addroea indMild aE�Q r Address <br /> ranges will not be accepted-�for addiftoal 71RAKWaa with Rio addrossm,contact the EHD,Apptimuono ramkved af.- <br /> 3:00 pm w14 be processed the next business day. <br /> 2. The END will notily the applicant if any EHD glee OWL An appolnhnent for review will be aantinmil approximately tart(10) <br /> days atter receipt of applte4fion. tae Pias wl3 be hold for a mAxlmum of free businass dip for raviow, Appolatmpnts <br /> should be scheduled accordingly, <br /> 3. A RIO that Is acdvely.bdng worked on by ENG staff may not be Immediately avallabto for review. Anew appncadon maybe <br /> Wornined when.Ow file is available. <br /> 4. Any Me not returned in Future file mvlews by the same apalleazrt may reque satna condition 92 ire a S 0 deposit Priorpoind EHD tomvlew.ti at the expense of the aglpOeaRt <br /> E14D USE OKY <br />