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83107/2086 12:45 4640138 <br />ENVIFZNWNTAL HE&M PAGE 01 <br />SHP Lurj NUMi-" <br />EATS RECEIVED SACT JoAQuIN COUNTY <br />ENVIRON1t,� y� � <br />304 Bast Wcbcr Avwuc, aro Floor, Stockton, CA 952024708 <br />01007 Jam 0% K a <br />Telephone-, (209) 46&3420 Fai , (249) 46"133 Web, 3jVv <br />P LIC CORDS RELEASE ICA --TION �- <br />—;LF 11 �, <br />r y 1 fr�M <br />ADDPMS- <br />PHONE (I <br />e carts <br />i. <br />.. , <br />ED z �< � DAYS <br />t3 CHFCK BOX To NXPEWM IMI <br />SIGNATURE <br />OF APPLICANT <br />Speci4ie Date Range of Infemation Requested: Rr*M To <br />ENVIRONMENTA I..+HEALTH OEPARTfAMNTT FilAS <br />(USn C�ftiP SM (LOP) mouso wAsAT6N M Wort FAe�tl.tY IMmE <br />tfwMFjxq*-rANK <br />`(,EANUP Si fE Qp1 FOOA FAsalRli'� ASTorae TAxtc va>.1 Do* 1%14M ® DAiRY <br />Vv T CE M 0 CHICKEN ICFs WA0MwAWTAeATB�fiT PLAI4T <br />FER EACR.r'Cd tvlDiRtlkto�as. ® M TRUGWARWORnMALTOiLETB <br />® TATrodOM PIERCING A POWSPA 6AMD UW- APpt A'p arras <br />M WMALWASSaFACILITY M MOR <br />WELI. A"b BWnr, PEMMrY FWOPW ARM AYAILAi LIR M RMN -MO 8:4� aas�:vi+PAe a stet ki0L 1CAY$, <br />1. Lk up to ten addresses In the space above. Select tho Wee of files front ih®iist aborra by checki tg the <br />appt+apriat boa�(es). At least <br />one file type Mi g°I' be selected. ER *e r�0__ g� 11,1111111:1 o +wait to theadd <br />I�di M d atiavr gj, Address Pensee will ilot i9e as pied far a$ddltlonal assistance with file addMwm, COPWat <br />tl�e �Ht]+ Apptiaationg rrscetved after 3:Ov� pau WI1i be prcoowed tbia next buSinss day, <br />The >rMR will �7okify the appti�rlt if any EHQ films . An aRPo <br />intMent for will be COrtf fMP-d <br />2. <br />approximately Oen ,<1Qj days r recaipR of appilcatir►e�. The films w�)11 be held fcp; a ma�munn of fear business <br />days for review. JAlape>'irtM011ts si ewld be scheduled auoc ingly. <br />3. A fila that is'3*gveply being worlmd ver by EHI) staff may not be immediatteily ava�llaitia for review. A ti0 <br />appllcacxion may be submMed When the file is available. <br />4. Myr v tQ Future file ithe <br />evlrs by the same applicant m y as released will <br />equIre $9$.00 aepwI pf tliff o view. BXPGDw of tie <br />p' t _ <br />I <br />