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03/27/2006 22:59 1209475 DEUTSCH . PAGE 01 <br /> ,y,te„nUbtvhu SAN JoAQUIN COUNTY <br /> 2006 APR —5 AH 10: 03 ENYMON14IENTAL HEALTH DEFARTMENT <br /> SAN )O t�(!U I` C o U N T'804 East Wcber Avenuc,3rd Floor,Stockton,CA 45202.2706 / <br /> ENYIRONMENTn ,boaD: (209)466-3420 Fa Et (209)4640136 Web:www.sjgov.orgleW /`rte <br /> HEALTH DEPhRTH_r i <br /> PUBLIC RECORDS RELEASE APPLICATION �, <br /> ADDRESS: <br /> c Aj cfrr Sreer�+_ aTnTE CQ_.� <br /> PHONE(+1'_ .r'- <br /> /9g0 PHONE(2): - <br /> TENTATWV APPwHTWENT OATFt Two: <br /> 1pke allow 10 pvskma dqa bele dao of 4pp%ostioe%ubmRtAl-'TWOOft only-must be 00MMtA <br /> Cl GiKGK 90x TO sxPEtKM T•t9A00 H OR CHECK(OKY).KQUEST PKOCMW N3 8U$#4Ea$IMV 5 <br /> SIGNATURE OF APPLICANT b DATE —� <br /> mronn.uo� 0 Lkt d Map•OssvA ..�,.r.e�---._� <br /> IF LE ADD 88 EHD USE OHLY <br /> str.at a suwt N.rbe <br /> t. O Unit 1 <br /> 3. ct w �e vim- El Unit 2 <br /> a. or �►' Unit 3 <br /> 1� <br /> Unit 4 <br /> T• ❑ Unit 5 <br /> CJ Unit 6 <br /> Specific Date RRt�o of k+fan*atian Roquested:From /G'0S-40. -- tv <br /> ENVIRONMENTAL HEALTH DEPARTMENT FINS <br /> D HoUGM As MMERT O aouv WAsfs FAOs-RIYIVaIGCIE <br /> ,P.rUNDaaDwexnTAN1t(U8T)CLeANur arnt(LOP) n WAM TM <br /> J�OT%M GLs"W Sns(NON-LOP) S7 Foo0 FAcalYY h omy <br /> X�UtroNreAeuwO TAW(MaaroawdReaOVAU (3 DOG Kenai <br /> O Cnesew RAxc+r OwAITawArla TnlATw9rTPun* <br /> TaREO Pi YNpT foF�urMl 0 In PLMVW TRVgQYA'0NrN&M0Ax T IT$ <br /> G TATTOOMOOT PIAIKIND n POM16PA O LAND Um AvruoAnat SIM —� <br /> *MIDIDAL WASTE FADIUTY O OTKIM(PLeAes SKOSY) <br /> W"i AND 60PTIC PSR%tT RAoo"t ARS AW N- Le roa RMaw.MONDAY*F;0AY 8:00 Ar4a:aDrM - F.XDLUDIAO irvLrDA*a. <br /> L Leat up to ten addrasasa in the apses Above• Seivot the type(*)of files from the list above by chocking the <br /> appropriate box(es). At least one fits type MUST he seiected. EI to f2 109 4i4�?6 oy moil �: <br /> hAligto above Addre"ranges will not be accepted-for additional asrlstant a with file nddrosses,corrta� <br /> the END.Applications reoslved atter 3.00 pm will be processed the next business day. <br /> FRO files exist An appointment for review will be confirmed <br /> 7. The EHD will notNy the appllunt H any <br /> approximately ton(10)days atter receipt of Rpplioativn. The lues WIN tea held for a araxlmtun Of flue business <br /> day%for rcvicw. AppoirAmor"should be ocheduwd soeordingly. <br /> 9. A file that In actively being worked on by EKD staff may not be immediately aysllabls for retnew• A rew <br /> apptication may be submitted when the file is evadable. <br /> 4. Any file not returned in the same condition as rele�mrequire <br /> i will bepinlZod by EHD GWK dBPQSIL prior a ra a*X ns[r Of the <br /> eppilcant Future foe reviews by the same up (cant may reG - -- <br /> K <br /> wa M-0r <br /> �Mk10rr <br /> Ta 7r",4 H11V31H 1tl1N3VNA72dI,'th13 66t649b 42:60 960ZIS6/40 <br />