Laserfiche WebLink
6et4axes b ��na31. Fr+ej � e:1 aF 1 <br /> E2cOgYcd:28}1pr.�1 06:50 PM Barn:Unkrnnryn3*nder To:5202235530 Y <br /> To 1 [ji,:,03=54)11 FROM � 3 ��+ '�t3<l-2f)-� � <br /> W.TU RFC Y&W <br /> SAN JOAQUIN COUNTYPUBLJC HATH SERVICES <br /> i NuIRONMEr NAL HEAL-ri DI SION MAY. 0 2 2010 <br /> 304 EAST WEBER AVENUE.,-THIRD FLOOR <br /> STOCKTONCAa52txa c�t`,� ( � .:t i tr L sEALTH <br /> RN)468-0420 !'E��il�fT/Stifc';/t%E5 <br /> pUBLlC RECORDS RELEASE APPLICATION . <br /> APPIJCAA[7 1 6ilswE=3StArNCY <br /> ADPRESS <br /> PK4kE 5 49 1` YAGSfOtISC <br /> T'EWrATiY`EAPYaMr➢ -N[-DA-1r a iilCC <br /> l 7sa1illbasvm=awsWom ofmoPli �+spatial) <br /> G>'IpCK RClX TO E"wm <br /> w:,wm-smw t — sT l�f;aCc9 l31ai 1 rillR!)�gCs GAY' <br /> DATESiGNA'TUR L OF APPLICANT <br />€ p.. ALE ADS 7HIs EJSI STAB i <br /> s�>�1aerte� <br /> E7 ell <br /> nr <br /> ra <br /> Uoi <br /> 0 _ <br /> i4 <br /> i <br /> ENv)ftQttbaLNTAL HEALTH DUMIRM FU irS <br /> �}ULNDERGROUND TANK PM)CLEAXW SITS(LM) 0 ROUWJG AlT 13 SOLIDllI Affe FAGLiFY <br /> �iL Gll�e CI�Ma►P Sm ��1 ❑ >�FACUM R SOUO V"M VENWA E <br /> t1M0�RCftOLMTAli�C(IiUF71i0ii1 DYAL)' 0 DD61�E]INEL CE WARY <br /> tUfYJIIiODita 1riAS'i tc 9 �A'lF7R fl cmwi m Mal 13 4100 71a ATLl PLA" <br /> L <br /> p YpTELAWTEL fl pUp R rYI> y>:l€t fOtLE7ti <br /> 'C3 TSG Ft�Sr171:u FACP-IFY <br /> D TAT'Ppp1BOCYP 5 13 tTjj triAA5EW0CWGfFFi19 <br /> 0 m0faAA.WNSTE�FACaJTY 0 W T67t8Y kas Ci i3TltP1t JFA9E SP6CIlY JUSOi, <br /> 7. LA"up to ten netdrKalsas In the t pane ubove. Swliect the typa{s)of�e#=ftGst�4 by t�lacldttg <br /> the appropriate bcx{t'ssl. At Masi ono fila t"MUST be sell Fox to(M 4§1:2l.le e <br /> 2 EmWRI nOlffy the apparent if any EHi)flits wdst An sppoit*UMt for review will be m dirlacd <br /> appeoxirrmWy&a business days but no tabexUmn ton(40)days alter rmdptof appkdkwL The blas <br /> w l ba lid's far a maximum of trye bustroe"days for mview. Appolntruants mho%4d be w4wduled <br /> acrnr�ingly. <br /> 3. A file thtt is a0fivety bemg marked on by F.HD staff my not be ilm&di3t*wvmIabMe for mvivw. A nrw <br /> application prey be submiHold when%a Me is availabla. <br /> 4. Any fila not reb=wd in th*sum condition as raleasad rwiif.be rnargarumd by E}fp qb&f at um axpwwo <br /> of tha applicant. Famra file raviemm by the some appjb=nt may require a$MOM deposit prior t rariew. <br /> S. **fEWATNE appoinbn eM dates mad b4 earrfmMd With EHD slap!_ <br /> #k Apptitasxiena roceW"after 3.M pre will be pmaes%od the next 4USkW Gel sty. <br /> CONFIRMED APPO)!1'f>~liEW DATE TIM <br /> DATE GCffif 0A1:0 r , PHONE. FAX iAlfi[ALS <br /> REVIESfIED YE8 NO 6"EWDATE <br />` Si M"' �„r r <br />