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03/27/2006 22:59 1209477`95 DEUTSCH PAGE 01 <br /> j.v' SAN JOAQUIN COUNTY <br /> 2005 APP —5 Mill 10: 03 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> T`604 Fast Wcbex Avenuc,3`4 Floor,Stockton,CA 95702-2706 <br /> E N Y 1 ir�C KI F1 E N T AtT how : (204)468-3420 Fax: (209)464-0138 Web: www,sjgov.orglchd <br /> HELL.T H DEPAI,TI-i_rd i� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> d <br /> Afl!pUG,ANT:__ ���� Gt31'� ��� b7AT'f�+Q_ <br /> "� <br /> PHONE(+Y PHONF-(u FAcst"U.Sf: <br /> TENTATtYE"APP'Opf MENT DATE: Tune. <br /> (pWme 09w 10 Wskms daps from dato of 4MMutf"stubmI W•'7woove only.rewnt be cof ireuil) <br /> Cl Ctil;GSC E O7C TO IF ptTEaT-ICAO H OR CHECK ONLY)-nQUFST PRO"W04 a IMMESS BAYS <br /> b DATE <br /> $113NATURE OF APPLICANT xae _ <br /> EteCSTo�� 0 Lut M map-ossvfi — -- _ <br /> tntcuraadon <br /> Fitt ADO t8 EHD USE ONLY <br /> rBtreet a street t"M9 Unit 1 <br /> 9. <br /> 2. D Unit 2 <br /> a. &r- <br /> 4. tnit 3 I <br /> Unit 4 <br /> l�. <br /> T. O Un"t 5 <br /> - © u2it 6 <br /> opeeific Date Rangc of kY of-AtIan Requo:ted:From -- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIl96 <br /> t 4 �T,kNK(VOT)GterfxuP vr7w(LOP) 0 AcG AnArE KE"T 0 Sous Yf►aIU,FAocuriA M"CU <br /> ,0'0-MrK cL&~30it(P OW4-0') 0 r000 F.cxmr n WAAW THRs <br /> �oinro TA14K(M0Wy0a0WRVJ0VA) O Doo KVWC!L 0 DAatY <br /> rifft4►tAitoo�sMIASTfOc/larusvaa OC Ram 0WAI'M ATMTREAT�FLMR <br /> M YWRED PiF W T%v FA-aw-avy 0 MOTtlltO� 171PUMPGR TcutCycfYAr olaKsatGwL T1KL�TS <br /> *TATrooMooT Pyok-0 n P0%.MPA 0 L.ANo tram ArnheA11011 S�rlss <br /> *MlolcfL WAtTi FACILITY O OTt=(%ZAsKSPiO+fY)Wt"Mo 90T1C FiRWT Rgoaftot ARE AVAAA9=FOR R VWW-momDAY.FRIOAY i:00 A*c-s ooprt <br /> 1-Est up to ten addrtassaa in.the space above. Setoc+t the types)of files from the list ebAve by chscldllg the <br /> appropriate box(es). At I t ore file type MUST be�Isctad. Fax to(2W+ UA 3$oP f f1 whaml'� <br /> n�i�-�txove_ Addrear ranges will not bb accepted—(Or additional A$461anOv with files <br /> nddv"se ,conta <br /> the END.Applicat)ons r"Olved after 3:00 pm will be proaesssd the next bualneon ding. <br /> 2. The F-HD will notify the apPlicant if any 1;1-10 files exist. lin Appointment fer revlaw velli be confirmed <br /> approximately ter,(10)days after rocotpt of application, The flies wla be held for a makim,um of five businosa <br /> days for rcbicw. Appointments should be tchaduled OCCOrdingly- <br /> 3. Al file that 1!i lctlYely tieing worked on by tEHO staff may not be tmmed1at01y avail4bla for review. A rew <br /> anppliaation may be submMd when the file Is available, <br /> 1R. Any flit not returned in the same condition a% relaa$Ad will be r*organlud by EHV staff id tht axpens't of the <br /> applicant. Future fie rsvtowiD by the same applteant may require a$93.00 dOP051t Prior to faview, <br /> � l <br /> aN❑n,� <br /> ,era�aoaa <br /> TO H1IV3N �1N�NtA7tiIlW3 6EiEb9b bZ=59 ?PfdZiS�/b0 <br />