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02/21/2007 13:07 FAX t ; ' 16002/003 <br /> ✓ 1/16/2006 08:54 4640138 EwIR04EWAL H NAL*- dl <br /> SAN JO.kQUJT COM4 TY too <br /> I�tS ENVIROMMMNTAL", ALTS DrPARmnn <br /> 304 East Web=Amme,30'Floor,Stockton,CA.95202-2708 <br /> t 1 j p Tdghane:(209)468-3420 Fat(209)464-0138 W*bt www4pv,oaVcbdM3 <br /> • PUBLIC RECORDS RELEASE APPLICAITON <br /> APPLiMj g <br /> PHOKE(1): ZaS-Syp- /3 S PHOItEw: F Ze2:g'e'e:QL i <br /> TENTATWE*APPOmmettr DAT$: TMs; <br /> (Fts M 0=10 baa ffma days from dabs d ssirm"-qTat31626111 GL*-WASt lbs ca firw4 Q <br /> 13 C MCK BOX TO EXPED(I FM%QLNMT.$9LQ0 ONLY)-FMOVE91'FROG=ED Iet 3 SUN=DAIPII <br /> .SWATURE OF APPUOANT DATE <br /> - <br /> EHD Uw ONLY <br /> tltnst s tfanteCw th*t <br /> L <br /> 2 G' ❑ vNtz <br /> 3. <br /> udt3 <br /> 0 <br /> 6. <br /> 7. s <br /> L <br /> 9. s <br /> BpodAe Dabs Rang9 of kdOMUlan ReqVesbetb Fran to <br /> 9IYltfONKENTAL HIMTH VWAtt7"!~wIt W FUS <br /> ((QtIi�!(S6aaKt)ttoxtigNyAdNUitP9ty10re1fARW o IfounA AM <br /> Wmw FAanwvbeW <br /> O Poon FAST o WAM Tme O DA"WmL O DmaiwwM,TM <br /> 13 CacaM pjW" 4•WA�r>arr�l7�tltilA71a31T PWfT' <br /> 0 T�nmwr m Pug= 01s "Ifs im t7 tR1APpR TYaic+tlYA1o�IF]I T"a <br /> 0 TArtoetbeerPwarxm ' 13 Pwot/SPA 13 L"Use AwtIcATIM Bma <br /> IOQ k 'WASH FAQU" 0 OWW(IEAN SP f3pFYl . <br /> WaLAW Salm ft*w MOW"AWAYAR-utz PON Rrrvr w- 9oNftAv4 mY 1:0 AN-L-41 Pu - Ex61 vow HmMAY& <br /> 1. Uvt up to ban addiumm In dw apace above. $elect the typ*)of film&am the pat above by cheddnQ the apprnpdma <br /> bo4eok At Wast ono ilk type MUST be sebet d. Address <br /> r will not be accepted-,for addetional assistance with file addrassas,cmuid the EHD.ApplWadons recOved after <br /> 3x00 pn+wM be prooessed the next WrAness stay. <br /> • 2 Tho EHD will natey7h•applicant if any 11W fires Wdst. An appolntmartt for review WM be confirmed apprnudmatety tan(toj <br /> days afbal-foodo Of appkaOan. The Me will be hold for a maxkm m of eye busimss day:for rwaw. Appel*A" <br /> should he scheduled amrdtn*. <br /> I A f 6 6LA Is eadvely botng wgdmd on by Em staff may not bo inwted'a dy"aiblo for ruviaw; A rwvr epp�Ik 4"magi be <br /> submMad whop tho f0a In wMable. 4 <br /> 4. Any ale not returned In aha samo condition as released will be nwMantred by EHD atoff at the expotae of the applicant <br /> Futuna f9a revtewc by the same oppticant may require a$95.00 depend prla to roYWW.. <br /> Em USE ONLY <br />