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MAY-10-2006 14:31 FROM:CAMPER Bh"0 12098238197 TO•^540138 P.1/1 <br /> O:lf 1Vf 4VVO 1.2.-91 -90401.21 LIlY1rW111-SJ11f 1%_ ru VW t "%a;. V1 <br /> r ...r.w—N <br /> uwlc r�cuctvcu �"' SAN JOA.QUIN COUNTY '"50 <br /> ENmoN=N'i;AL HEAlum DEPARTN ZNT <br /> (� 304 East Wcbcr Avenue,P Floor,Stockton,CA 95202-2708 <br /> S ?`' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov :z35a4 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: $USiNESSIAGE?ICY: <br /> �w� <br /> ADDRESS: O ^tS % CrtY IT <br /> � �&TA <br /> PHONE(ik ��.�' A:) C PHONE M FAC MILE: <br /> TENTATIM APPounwNT DATE: TIMM <br /> (Please 206w i0 business days from dale of aWC20on sabinitkd-*Twrtart v*only-mtW be aWfiintted) <br /> Q CHECK Box To mum m REouesT-$93.00 Fee(cmn oR CHI=CK cwLy)-REgt*ST PROCIMM IN 2 SUSi MSS DAYS <br /> SIGNATURE OF APPLICANT DATE . <br /> M#cratstion O L Q Map- <br /> FILE ADDRESS EHD USE ONLY <br /> street:t titmet Ttame My <br /> 11 Unit 1 <br /> or Unit 2 \� <br /> ;rUn1t 3 <br /> T. <br /> a. unit f <br /> Specific Date Ranke of inforimition Kequest9d:From <br /> ENVIROMENTAL-HE,ALTHMEPARTMEW--fiLFS- -- — - <br /> W ne.wacumTAW(W711 cx ITE <br /> S (WP) O HOUSINGABATIMUSI�' .(SoLI0WAsrt'n�£ <br /> On=CLmw;�("-L0P) C Foto FACLM wA9Tt3 TIRE <br /> "EFtqfootnro TANK(QlImimW-W&FlOYAL) O Doe KutaM d <br /> PAW <br /> HAYARAOUS WASrE t'sEdIEaATOK AMVA M T1WAt4ENt PLARr <br /> STATT001DWYPMOING <br /> D tEl RAKCHTt &I)PCMM=FACQITY Q MOTELMOM <br /> U Puut�ERTs IatClCkdacuTost O VOM SPA %LAw Lfta APPM#-T l Sass <br /> KMEMAL WASW FActu"rY _ C7 CMER(PL.EAsd <br /> WELL Mo SUPnc POir¢rr RECORD=ARE AVAKABLR FOR REYII:Mf-HMMAY-FROAV 0:09 AM4'-WN - O HOLklA''t. <br /> 1. t.ist up to Gen addresses in the space above. Select the tfpe(s)of fifes fsam the ilst above by checking thO <br /> appropriate boges). At least one file type MUST be selected. F�to(20914644168^r tali fa the address <br /> dicated above. Address ranges will not be goompted-for additional assisunce with.Tale addres€tS,contact <br /> the EHD.Applications received after 3:00 pm will be pressed the next busing day. <br /> 2. The EHD will notify the applicant if any EHD files exasL An appointMent for Wfisw vitt be coiLRtmed <br /> approximately ten(10)days atter receipt of application. The files vAll be bald for a ma:dmum of Me btnsineas <br /> days for review. Appointments should bescheduled ponerdingly. <br /> . A file that is actively being yolked on by EHD staff may not be immediately available for review. A neer <br /> application may be submitted when the file is available. EHO staff atthe QMense o4 tha <br /> A. Any file not returned In the same condltloft as released wilt be t9sorganixed by <br /> applicant. Future file Wows by the same applicant hay r9quire a$83.00 deposit Prior to mylev+• <br /> SO(17l2M5 <br />