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10/31/2005 10:50 5102333'- ARCADIS PAGE 01/01 <br /> 10/31/2005 09:1.9 4640138 ENVIP.i]NMEWAL HEALir, PAGE 01 <br /> SAN JOA.QM COUNTY <br /> EN YiRONmEN T.A.L aALTH AEFARTMm <br /> 304 East Webcr Avenue, 5 CA.95202-2708 <br /> Telephone:(209)468-3420 F :(209)464-013S b:wwwsj rv.orB ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; SUSTREMAGE2iCY: <br /> AbDRESS; t7 � GL <br /> PHONE(1): FAC"3 7 <br /> i 4 1 <br /> 11NTATiVc't�FPOth7'i1 EW DATE: <br /> (Mast slow 10 bw1rw=W.koms date of appC-=V*n -"r live Wy-must N? ed) <br /> �� p�'/pdECiC BOX TO EXPEDITE PZQU"T.S 9 X00 FEE(^-ASH aR c HECK OPa.V)-REQUEST P yf'O SED 1H 313USNK�SS DAYS <br /> `81GUATURL OF APPLICANT <br /> vfa7 DtS riQH Q UrA 1 ❑unfit 2 umtt 4 Zthat E Q WX G ❑ oar( y <br /> FTL.E APPRESS t EHD USE ONLY <br /> stmt a "Vo Name Ci <br /> { L <br /> 6. _ <br /> 7. 2 I <br /> lr f <br /> -77 <br /> Ro. 121 1�. M <br /> 5pecff'c Date Ranae of Infcxsnation Requested:From to <br /> tJNMENTAI.HEALTliDEPARWENT FILES - F <br /> ❑ f+sl rc+calr D 50M Was..Fr=.rsW � <br /> CiSPfAk'SiT4(NON tAWI d Foci FACar.T <br /> M Dos KEafa. p DMY <br /> 0 TAW(MioX��AL) <br /> a TATroolSobt' ❑Ca POOCIaFFNi Ax c <br /> ❑>r7 WPu1rzvA—..%TKE1TM_T PLWT <br /> 13 HAZAAauWAZTs G&MkATOa puwm S 70tl <br /> Es <br /> r3 T�Pwnt�FAME 13 t_NQUE/PPtr-ATM <br /> O ai�caLwti,rEl' IIr ❑a;�tCr ;ESs � <br /> �l►ttp Pct'iF£C�L"ARE�YARJ�6LS FQR F�EYit`+MI'- 160NOA7�I�DAI��:11Q!�'«-�� �C+XUDR�}{6UN22. <br /> Ust up to ten addresses . <br /> s of files from the list above by checking the <br /> 1. #tl the space above, Select tha typo{ ) <br /> appropriate boxes}. At least one fie type MUST be seceded- ax 209 4t6 138 or to the address <br /> fntlicated above._ Address ranges Wl j not be accepted-for adtlltfolzal assistance With file addtgsses,C4htACt <br /> eo EHD.Appl@cations received after 3:Da pm, *AB be proce-sed the next business day. <br /> Z. The laNb will notify the applicant if any lD flies e4st. An appointment for review will be corfimn@d <br /> y/ten(i9)days after rec*lpt of application. The flex wail be held far a maximum of five busirt s <br /> approximately/ten <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file thit Is actively being worked on by END staff may not be II;medlatoty available for review. A nevi <br /> application may be submitted when the fde Fs ayailabto. END Staff at the expense Of the <br /> 4'. ,Arty file not retuned In the same condition ss released will be rL8{'�an1Z8d by <br /> applicant. future fIe reviews by the carne applicant may require a$62.20 depositpiior W ruyi6w. <br /> WA <br /> p{Q QdA2-006 <br /> �Tr.�roa <br />