Laserfiche WebLink
06/22/2006 15:51 916-371- 9 PMEY GEOTECHNICA) PAGE 02/03 <br /> ENVIP.ONi4ENTAL HEAL1� ?AGE O1 <br /> 05/22/2006 4.:45 4540138 0.40 IUAgtjir4 t-uU14'l.'Y � <br /> I FINVIRONMENTAL,HEAL TH DEPAR'TMEN`T Ln]E <br /> East WeUcr Avenue,3e4 Floor, Stockton,CA 95202-2708 <br /> Telaphaue:(209)4683420 Fax:(209)464-0138 Web:www.sjgov'.orE;le'hdt b I <br /> f �'Ulij.V�'?i�l F 11t��LTh <br /> YUBLIC RECORDS RELEASE APPLICA'TION•� i <br /> ADurtEss:31�flan 111 crrt 1Satrrrra��,n —srA fir__ <br /> .c-c.z FACSIII M <br /> PHONE(1):.Q 1 �`i^O'-l'�y PHONE(2). <br /> TRWATEW APPOrNTUG r DATE:_ U 12�LDS nom: P� <br /> (lefaa9ztllm'lgteumL•aee�dtry>imm�dateorappllCalton4ubtpkFar-'lentaWea�h^must baeanflcmed} "TF�k���Lt'�r <br /> L CHSC1,B'J:G M IT R£OvE9 esa -REQUEST PROCESSO IN a DualNssB DAYS <br /> r,NATL[RE()F APP ANT DAT)" <br /> SI <br /> .. ..�.._ <br /> lafefltta4ian� ❑ ) 00map•o Criollen �..,.- <br /> "� Films ADDRESS SHR USE:ONLY <br /> 8ueei/i smet f4mo city <br /> Aur- 'I—oc -ta Urlft <br /> Unit.2 <br /> 3. <br /> Unit $ <br /> r rr Unit <br /> 7• Unlit 5 <br /> UnR 6 <br /> 10. <br /> gpeolllcDate ltangp of[nfarmalion Requested:From <br /> 2NVIPONWIENTAL HEALTH DF-PAPTIMEN'P ILES <br /> UNA'-RDRoUHDTANK(USI)CLSARUF SM(LOP) Housmc AsAIPPENT soLs'NmrEFAca.NT1YD07M <br /> F000 FAMrrf WASTE irz <br /> Ar: <br /> OTHER DLEuP Sn=(140N-LOF) c KEPONE:. ox9v <br /> Do <br /> tmpERianDUNoTA1tlC(MCNTDPiNC:REfa0YA4) CWOKV RMCM yrA&ttwArEaTFtttATaENr P4AKi' <br /> I HAZUUDous WAm GEKERATop MoTwimlom pu�ePFnTauOIN'+� NE:tpAc.Taaar; <br /> l%Fko NAmTTEv FACRM PoOVSPA Uwc U'�APPL1CAno1C SnES <br /> TATTOM30MPMFMI G O'MER(F'W'Af,SPeC" •---._• <br /> MEWAuW9m FA=T( MONDAyr=i kYa:OC AM-EZeu - MLtrt�aIRP HCTID� Ars_�s,.�.. <br /> WALL Ary S�pt'RM RecoRm ARE AV F( }r6M�EN- <br /> q, ttst up to ten addresses in.the space above. Select.the WPM of files fnrm the list albmre by ctaeotdng the <br /> a pplropr[W box(es). At to one fii®type MUST be selected' tom(2091 rfiietaddresseaM10�ontad. <br /> Id a above Address ranges rr111 not be accepted—for additiomal ass <br /> the EHD.Appi[OatioR9 received after 3:oo pm will be processed the nerd.business daY- <br /> R, The EHi�Wi[1 notify fire applioant it any EHD files exist An SPPoin"ent for M-dlew will b canfilmed <br /> she 15H will ten(10)days after receipt of appficaton. The files:Will be hold for a maxImum of We busln" <br /> oldmdays for review. Appointments should be scheduled acoordtngly. <br /> 3, A file that is actively being Worked on by EHD staff may not he Immediately available fnr revie N, Anew <br /> application may be submitted VIM the rile is avallable. anized by EHD stall at the expense Of tits <br /> 4. Any the not returned in the same condition as released vriP be rebrg ' Wry <br /> applicant Future file the same applicant Inay re4uire a 593.00 deposit prior to review. <br /> BHP Rahe <br /> eq,IM04 <br />