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03/27/2006 22: 59 12094725 DEUTSCH PAGE 01 <br /> � Ivbu SAN Jc)AQUIN COUNTY <br /> 2005 APR —5 AN 10' 03 ENYIRONMENTAL HEALTH DEPARTMENT <br /> SAtd to t,:]lll COUNT'SO4EastWebetAvenuc,3rdFloor,Stockton,C-k 95702.2706 Z29 <br /> ENV IRONHENTA bes.; (Zf)9)468.34YOFax: (204)464.0138 Web:www.sjgov.orgfehd <br /> HEAL.THDEPI'R7H <br /> PUBLIC RECORDS RELEASE APPIdCATIO <br /> AI�IPUGANT:__ "��� aU91ttla9rA4ENCY: / <br /> �..- <br /> ADDRG's5: <br /> G PHONE 121: FACSUIe E - <br /> PNOIte l+Y��--/-----f��--- <br /> TENTATIVE'APPOINTM ENTDA-Mt Time: —"� <br /> (Pfww Blow 10 twtkttsa dM haw este of t ks6on submine.7eTtaWe 0n1Y•moot be oodim" <br /> CI C;ltEC C t3DR To EA6E01T!RE MOT-ss of H OR CHECK ONLY)-REQUEST PROCWW IN BUba!SS DAY$ <br /> SIGNATURE OF APPLICANT t) DATE <br /> � p list [7 EEsa•Derwi '^T"_.._-_..._�� <br /> FIt-E ADDRESS EHD USE ONLY <br /> etraat s arie.e Nan» <br /> t 0 Unit 1 <br /> 2' cad- mac r+a' O Unit 2 I <br /> 3. �' ��njt 3 4, yU0 4 <br /> s. <br /> r; O Unit 5 <br /> © Unit 6 <br /> 10. <br /> specific Dabs Ranvc of NMamatlOn Requested:From /4"O/� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X.rum eitanooM TANK(UST)QeMUP ansa(LOP) p HOVea+G ARATENERT 0 sono Y(Asta FAO&MAMWAX <br /> eamex CLant 04CN-LOP) GFooa FAcarrY 0DAETE IRE <br /> JEANUP <br /> mel-U"ow000U TA&K(MoboKW PRMMWVA\) 0D04 KLNNet /JM1Y <br /> ..f O C�nauw Ragm 0 WAsTswATSATREAT=SKTP6AW <br /> ' mtm5out WASTE glwmI Q a�AOT.t�tK/HaTtlt p pWM ft TRULrNArnR:KffW*AL'n)MTS <br /> C3 TmRca PKF1A TTta FA UTT GI Poa✓ePA ❑lJ.11a Ure APn.10/.nd19t17R <br /> M TATTda-WASCQT E FAXI a 0 OTKta(PteAM SnCOY) <br /> A MEDtCPL WATTS FACILITY !w���'�"�--�- <br /> WE"WoSAPTICFERMITRCOORPSAKAVAIL"L.eratRPWW .MONDAY•FKIDAYI'M PAULOOPN + EXC UM-oHgUPA"' - <br /> Checking <br /> t,. List up to ten addresses in.the apace above. SOWthe types)Of foss from the slat aafmw b7iJJto tF a add lsg <br /> appropriate box(es). At least one file type MUST be selected. Fav to(20914$4 029 or mall r <br /> above,. Address ranges will not be accepted–for additlOnai aasistanca with file addresses,contaol <br /> the END.Appllcations reeetvad after 3:00 pm wlil be prooeeaed the next business day. <br /> 2. The EHD will notify the applicant It any EHD files 93dSL An appointment for review WIN be 0�nfirrnad <br /> approximattly ten(10)days after receipt of application. The flies Will be held for a maximum of five business <br /> days for review. Appointmontf Should be scheduled sccordingly. <br /> 3. A file that it,aetively being worked on by EHD staff may not be Immediately available for review. A newr <br /> spplloation may be submitted when the file is available. <br /> 4. Any file not returned in the same condRlon as releasod will be r organlud by EHD staff at the a3g3ans(s of the <br /> eppacant future AS revlews by the some applicant may require a$93.00 deposlt prior to review. <br /> —�I <br /> ---------------- <br /> RRO M-0r <br /> nraMrS[ <br /> TA .Wnva Hl'it�3H Hyl I,� BEi0b9b PZ 350 3Q0Z/SB/b0 <br />