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MAY-10-2006 14:31 FROM:CAMPER BCS`^- 12098238197 'q <br /> T0:' 40138 P.1/1 <br /> VLJ/IV(4OV0 1J.YL 40YV1J0 G1V 1fW1`11•IG11/y.. rti.1 \1'1 f 1'Y...fl V• <br /> UAIC AWP Cfvaw f1/4vV I.M..Irr.� <br /> 1"' SAN JOA,QUIN COUNTY I.'°w <br /> :5 1 I C) , C) IGNVUtONM NTAL HEALTr1 DEPART3I' NT <br /> (� 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> l ?`-� Telephone:(209)468-3420 Fax:(209)464-013 8 Web:www.sigov org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BIJSiIrFrSSIAGENCI': ���5'� W:���c <br /> ADOREZ- 3: 4S, its► qTY St <br /> PHOMI+(T): ����'-��, _PHONE(2): FACSIMILE' <br /> TENTATW APPOUnIMNTCATE: Tare: <br /> (Pleas*allow 10 business days from date of 2W WS tt XUURM l-Madtx6ve only-must tk CWflMied) <br /> 13 CHECK[*X TO MWEME REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQuMT PROCMFM IN 3 BUSINESS DAPS <br /> SIGILIkTURE OF APPLICANT DATE <br /> lec4sonlc as List 13 Map_O <br /> lnfarglstion <br /> FILE ADDRESS EHD USE ONLY <br /> Street d street Hamo My <br /> I. 0 Unit 1 <br /> 2. ji�l Unit 2 \� <br /> 4. <br /> s. ya'UI7it 3 <br /> T Uni# <br /> a�. tj Unit 6 <br /> a. <br /> flo, Unit 6 <br /> Specific Date Range of Information Requested;From <br /> -- - -- -�NiTIROi'ii�IENTAt-HEAt�'H�Ei+°ARTME'NTf��islfa ------9:0EtCED <br /> E)TAW(f3S'I)CLFAwwSITE(LQP) OHOUSINGABATel1i6NTUp SITE(Nom-LOP) a FOOD FACII�Tif ❑WASTE THE <br /> TMK(ItlipHfnOrltrGfASEiCAYILL) 0 Doe Kom O <br /> flAZARDOW WASTE GERMTOR O CHOW RANH AX1MWAV0 TMATMEKT Pests <br /> Rmm Pe a4nrED FAC M Q MOTELIHOTEI• G Puy ftR Cu <br /> TRujlf=wc AL T <br /> TTGA90MY PMONG O PCOUSPA )%Lvw pee AFn CATW 5ffS9 <br /> KMEAICALWASTE FAMM G OTHER(PLEASSSPECIP4-- <br /> WELLMI)SEPTIC PERIM RIX411DA ARE:AVAILMA FOR RUM-HONDAY•Frt0Ky a:mo Au•O:Of 014 - �LtiordG NOI IDA'!. <br /> t. List tis)to.wn addresses in the space abOVO. Wect the We(c)of files ffon the fist above by checking the <br /> ,applTspriats box(e&). At Fast ane fila type MUST be selected. EMto(?U!9)464!9Z;oor mati lg rho adds. •-� <br /> Indicated above. Address ranges will not be 2000Pted—for additional assisUlnOe With files 000m%sus'contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any EHD flies exist, <br /> io . h ioii tment for ba ford of tr a m llO be c0 of fhfe blrsinass <br /> approximately ten(10)days after reaelpt of app <br /> day&for reuiew. Appointments should be scheduled al00QTdin91Y- <br /> 3_ A file that Is actively being Worked on by EHD staff may not be Immediately available far review. A near <br /> application may be submitted when the file Is avaiiable. <br /> 4. Any file hot returned In the sante condition as released will Fre reorganized by EHD staff attire expense of the <br /> aippliaatlt. Future file reviews by the same applicant may I%qulfG a$91:00 deposit prior to Tevlevr. <br /> A <br /> FiM 4440 <br /> "auaw <br />