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v MgRo MENTAL M AL.TF� PAGE Yll <br /> rJ6/38 ;1 44, i, .4.fi5;013B ..........,......, <br /> =h T'Ij�;/!�', SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 3 0 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTOM CA,95202 <br /> `NVlROWEVT HEALTH (209)488-3420 <br /> PERMIT/SERVICEPUBUC RECORDS RELEASE APPLICATION <br /> �{A>+I_ 1 �usuil6esr�aT:NCYNF�t <br /> -AFPUCANT ZZVYt_o o AIt .k L.i, CA <br /> Aaoiustr._.____ 2 <br /> —'+? ArAr-FACSIA&E <br /> TENTATIVE*APPO04M'oAtE 7 'L . Ton <br /> (Plealb WwT to I*bum dayR*9M 6M of apiMlcaUon auwnntel) <br /> BOX TO 190WtM 011COE5t.:84.00 `E4w;; feEDIN;3 BU$INt S DAYS <br /> Ct0iC1C Ts DATE ,. 3 <br /> *siomTuRa or APPLICANT :.L <br /> ..1 1 <br /> MY <br /> 71 MR—A <br /> A), Ala�__ <br /> SH, <br /> .;• �IVI�IONp n <br /> -- FNVIRONMEK'i'Ai. <br /> g UMiE T#M f tsi,fATItTP$1 F!{�E)P)'.�Ci..IION T 1 Y`T <br /> ;. O ROD <br /> 13 OnM C AAM P WE(NON��• - _•s,3•-MG KQNNSl -- •—- xr-- <br /> O UMNFAROUND TAMii IliOEi WWGUISEMOVA-) <br /> CGh jppai./1BIHPAGTSt CH 0 PKO-IRBArAENT PLAW <br /> 'iilHi RMrOR <br /> H <br /> LTs <br /> p MAZAMXWWAsGfiMRkKa <br /> E3 TtaFAcnrT c[ Y/WlNICATIOsIE <br /> O TATTOO8MY MRC" <br /> C3 IaeaicK wAaM PACILiTY <br /> C]L 0-M Pit JKFAM WW" <br /> _.WOK <br /> typsof tiles#ram the list-fie by checking <br /> y, List up to ten addresses in the spas above. t3lleut th4 o( ): t20 ,484.0138 0� ,Il <br /> the aptxopriste b,)X(�as), Aflwist one file type MU-►t'be seieoted. <br /> awreff ap �' Appointment for review will-114 elonfirmed <br /> 2. EHO will nobly th i a.. pF�ns,if any ENO iiia¢axlst. An afkar rocMpt of application. The files <br /> approximately fiva business days but no Inter than ten(10)days ntmenp shouid.brs scheduled <br /> win be held for a+na)dmum of five business days for review. Appo'~ <br /> accc"Ingly- not,be Immediately evallabie for review. A new <br /> 3. A tits that i,4 a►ctivMY bek�g worked on by EHD staff fl�If <br /> application may ile submitted van the fife is stvallalble. <br /> 4. Any fife not ratuntied to tfie same-conttttlun as reiresed will be roo ul w �to tom►' <br /> s�rne 11 t tflsy M ,... , <br /> of Mta applicatwt. Futu filo fdvie ivs p tale pP <br /> 5. 'TeNTATIVE&W90tment,det4s must be c6tiMS with EHD tf. i <br /> 6. Applications,,race Aved al't4r 3:00 pm will be processed tfw next busin"s,d y.TIME <br /> , , RU <br /> CONHRMED APPOW11104T ISATE _ - <br /> DATE CONF RMEA _..�.,. -- <br /> PHONE ` , fiAX :. lt�tAlAt�- - •REVIEWED YEi; No >�W OATE - <br /> Zd WdLE:b'0 2002 02 -un j 0zL1?z09SZ6 *ON XU I ld W021d <br />