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07/27/2008 08:12 FAX 1?1 0022/00,2
<br />CIAI�.Q - ID
<br />SAN JOAQUIN COUNTY E-111) LOG PUPAi-11
<br />JUL 2 7 2006 ENVIRONMENTAL HEALTH DEPARTMENT
<br />ENVIRONMENT HE 0"' E. -d Weber Avenue, 3"' Floor, Stockton, CA 95202-2708
<br />PERMIT/SERVIC hone: (209) 46&3420 Fax. (209) 464-o138 Web.- ynw,..jg0v.orq/d. 14 403
<br />PUBLIC RECORDS REL EASE APPLICATION
<br />APPUGAN'r:
<br />ADDRE, 3. S.._
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<br />p11(-N,1C (1): PHONF. (2).-�Zaa�4E=Cxol_j'
<br />. . . ...... FAC'SIMILE
<br />TENTATIVE" APPOINTIVIENI' 0ATE.
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<br />(1`10,13 0 Allow 10 bus ine,,, s d Up from (lata! ()f ilp �ii_jljt 7ion S-1 orl felivo only - ulu'c', I bc confirmo(f)
<br />0 CHECK SOX 70 FXPEDI HE. REOLU,1 -
<br />SIGNATURE OF APPLICANT
<br />UMI' 0i'.Mir,U1'I(.)N 1;! 0 unfit I
<br />FEE (CASH OR CHECK IDNI,.Y) - RFQUES I PRO(7,C5SJ-
<br />DA T E q) IN l fJIJSINEF,5 [)/M3
<br />n.jtlit JiLmlorUnit 4 CI Unit 5 iillit t., 13 Other
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<br />'3pecifir. 02ae Rant of Infori)LAtion Request ff-1: From to
<br />ENVIRONMENTAL HFALTH DEPARTMENT FILES
<br />`KI, IN rt.r,.�,rj,-,,,irq) IANIc (IJST) CI CANU I (I OP) M I- IOUSING AKATrwrN I $OUVWASTIF: FACIU I VVr"111OLL
<br />OTi,(rr, CLLANI/P �Jt:. (NON•I_ OP) 0 rIC1(f0 FACILITY WAs I F Til, F.
<br />IANK (MONITORINC,114C.MOVAL) C) D00 KIANLI 7-CF)AIrly
<br />XHA%ARI)Otr, WA1,; IF. OFNI.'RATOP! C-1 GIUCKM RANG! I �vvA-,;iLwPu-.fy, -rrtr-Al'?A_NT PLANI'
<br />F-1 C3 Mf,'1TLL/II0IIA. 0 PUIAP71`1 TRU(;K1)'ARJ)16Nq-..m Tat M,
<br />13 TA nr y 0 P(ALIZEPIA �i'AND USE A -K K:A I [ON $17. C,1:1
<br />C1 ME.VICAL WAFII,. -j,Cjj Iry
<br />Wf-( 1. ANT) SrFITIC 1"LRI611 t Rt,(;(.)nnr; ARF AVAILAMI.). I -OR R rvlr.w - M()ND1\Y,r,?Ir)AY$:0QAPA-5:70Fm
<br />F=Xfl kl0tNQ 110LIDAYs
<br />I List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the
<br />appropriate box(cs). At feast one file type MUST be selected FAx to (209).464-(11;8 or m,111 lo,the acJdress
<br />indicated Address ranges will not be accepted —for 0 nal assislanle with file' addresses, contact
<br />the EHD. Applications received after 3:00 pm will be processed the next business dav,
<br />2. ThEFID will notify the applicant if any EHD files exist. An appointment for review will be confirmed
<br />approximately ten (10) days after receipt of application The files will be held for a maximum of five business
<br />days for review. Appointments should be scheduled accordingly.
<br />3. A filo that is actively being worked on by EHD staff may not be immediately available for review. A new
<br />application may be submitted when the file i-,. available.
<br />4. Any y file not returned in the same condition as released will be reorganized by EHD staff a, the expense of the
<br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prier
<br />r rjor to review.
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