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M'd -1di0i <br /> ED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIN41V41"C <br /> .qFP 2 S 2006 .304 East'We.-ju-rAvenue, 3d Floor, Stool,"tor", CA 9522;012-�117-;- " <br /> (209,1468-3420 FLix.- (209)464-0138 Welx www.s d <br /> WARONMENT HEALfA1e'!)h011e: <br /> pERM1T1`0SER14GE5 PUBLIC RECORDS RELEASE APPLFCTXP,� <br /> A0DRES$,_ t tgL rdej P11('Atervilic......PA. 4c r+0 <br /> PHONE-(Ij- PHONE(2). <br /> TF-\l'rA'3IV.E*AIPOINTNiEik'TDAFE; 1-1/ala <br /> (Pla-age agow 10 busirs(w,3 dais frOM dile 07 application SLIbMkJK C-My-rnuat t3zQ0nfiJ-rq,*4) <br /> ME(CASH OR CHECK MILY)-r."EQUaSil .'It <br /> r1AY,- <br /> SIGNATURE OF APPLICANT <br /> Z_ <br /> LI/ ---Q- <br /> Electronic information: List map-Description: <br /> F <br /> FILE ADDREESS O ,, <br /> Street Name city <br /> 0 unit 2 <br /> Dv*.. <br /> 5; tv <br /> 3. <br /> 7-t-1 <br /> 4. <br /> ----------- <br /> unit-3 <br /> fn <br /> EMVIRONUIENTAL HEALTH DEPARTNI ENTF!LES <br /> M WOUSUAGA&A.TiMIENT <br /> .<(US'F)'��-LEAMVP.SITE CLOP) <br /> j4' 0 1=005+=M"y <br /> OR M <br /> C?, <br /> n <br /> 0 r-ACILMY M OTMEft(PL"SP- <br /> WELL ANZ Sp,,rmc�!)rmMIT RECOrtfng AftS AVJkLAEPILE PoR ReviEw- MONDAY-FRIDAY 3:00 AM-,5:MP&1 <br /> U;, aidl -seuln the spaze abovSelect the type(s)of filevilrom the liaA;cva by vh�&:MnG <br /> t? <br /> bov-(s Plit Wast onca type mus,r bez-elected,. faxif t <br /> gLq t Lie.,—�46(tf_g&ae k�n&jc�gtqd V1,60"0Q.- ;"Wrlrv,.m <br /> ranges vvill not ioe accepted-for additional a5siotance with file addmsaa,contact.the EM App4ii!�avcsns tvccivsd wqer <br /> : :G pjt%vim on,icevsed the noxi:business day. <br /> 2. -j he EHO vviii no t&j the applicant if any EPD files exist An appointment for review w-fil be con-firn-Ped approximately to vi 0j <br /> dayaift�v*moeipt of applif.*ation. The files wOl be held for a maximum of five busir-ess dtvn fai reviowAppontmsntg <br /> should be aohedulc,�accerdingly. <br /> 3 fit is aic vt&P< beft worked on bar UMD stiff may not be immediately availv.ri.ekz "avis%- <br /> szAbinlet.,ed when the file is available. <br /> 4. Any flic,not returned in the same condition as raleaged will be reorganized by E140-staff at the(ixpvnsq:of trig:applicant. <br /> Future Ma reviews by the same applicant may require a$95.06 deposit Prior to ravi WW <br /> EHD USE ONLY <br /> L <br /> @ZTB EgE 9TC- <br /> 03TS E92 9TG 90C <br />