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06/01/2005 17:35 530675 STRATUS NO CALM PAGE 01/0: <br /> mow Alleam <br /> SAN JOAQUM COLIPM <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Bast Weber Avew,3n°FIM,Stocl*m CA 95 US1 <br /> Tekpboue:(209)468-3420 Fax:(209)464-0138 Web:wwws =. <br /> PKJBX.IC RECORDS RELEASE APPYIXCA IWIF 0 1N a UNT Y <br /> APPLICW: l�ewc► hMslk�+ti. BUSINESS/AGENCY: <br /> ADDREN: <br /> PWM!(1):(530 ri%- l/yt� <br /> TENTATIVE&APP cEar DA <br /> Mom"avow 10 business .must be amfemed) <br /> Ig CHECK BOX TO W04OP E REQ ON T PROCESSED IN 3 VA DAYS / <br /> 1p <br /> SIGMATtM!?of APPLICANT DATE <br /> UWT ow"MA"" t3 Unit 1 b llrat3 13 MRS O U04 ti Unk S C Unit s G 09m( Pel <br /> ma..ta 0040"mm EHD USE ONLY <br /> �. <br /> Z. <br /> s. <br /> �. <br /> s. <br /> 7. <br /> 8. <br /> 8. <br /> 1@. <br /> Specific Dab!Range of hdonnatioe RequesW:From to .Erms.ak <br /> ENVItONMENTAL HEALTH DEPARTMENT FILES <br /> !f _Tiles til CLeAran�8rtG(LOP? O HODSPoOD Aa 0 FAMUnNowar: <br /> TANK PA N'010 1ROWVAL) Q Doe Ke eft ❑DAWY <br /> WASM TM <br /> MEDO OMM GMSUTOR O CHN)M RANCH G WASTMATM Tfd A1fAW PLANT <br /> n 7mm—Po-mm FArxmr o 00vm ima a PUNMRTrWOWYAn 000 TOUN <br /> G TArioomm Paeraera O POOLISPA O LAUD Ube ArPucAM SnOe <br /> O 111MCAL WAM FAor`rtr O OTHM MXAM SIspFY) <br /> Vft.LAmo8mnmPmm,RA==A1qtAVA1LmX Rftm #-NOWAY�FKOAY$!9DA"'OOPN NOLIDAVIL <br /> 1. Lid up to tin addresses In the space above. Select ft types)of files from fhe Nst•bove by theOft <br /> "IN"ista box(es� At feast dine ffld type NtUST be seh:eted. Fftf=4 "Imr M l jg <br /> Ind . Address ranges will not be acaepl ed—fvr additional ame4tance with file adeMesses,contest <br /> the EHD.Appocadons received of sr 3:00 pm will be processed the next business day. <br /> Z The EHO win notify the applicant N any END files exbL An appolnbrnent for review will be confinnod <br /> aWr dmsteiy ten(10)days Aw receipt of apoic aftm The Mom will be held for a maximum of five business <br /> days for review. Appok*nents should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> appihation may be submitad when the file is available. <br /> 4. Any file not returned In the same condition as rmleased will be reo by END staff st the expense of the <br /> applicant Future file reviews by the same applicant may require a 3.00 deposit prior to review. <br /> soa��oa <br /> V14" <br />