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Aug 25 T:) 04.50p Nissa Nati: ° ^"X184- 42 P.1 <br /> Edit LOG ttttAAeE`i <br /> D VED SAN JOAQUIN COUNTY <br /> i �'ICIltt A�. EALT14 DuARTMENT l <br /> . 5 2006. '204:fit A*-bcar Avenge,3�Floor,Stockton,CA 05202- 748 <br /> Tete ho g(21} 4&8-342ta Fax:(2W)46"139 rirww s i avorgtc ! <br /> f�Vl f3N14ENT HEALTH <br /> APP-X:MJT` <br /> _., .._:. <br /> PFtORlE(21. <br /> Ti;l#yATIW.APPOINIME€3•DAM'.. "19n>lei._,..._... . <br /> s11ow ht►t�us'sness d+�Ys '+r cL�t�a aPa�plicaaillon sc�rniittat�"7'en#aElvr�only+ m�a�be c��1 <br /> O::C14ECK.QEax TO IWIECtT-REQ1 F-ST (CASH ECIC t?1VW)-REQU ST 01 14 4000. E98 NAYS <br /> SIONAr'EUREOf-AISPLAA ALN'T _. - J L . :.._ ► <br /> lltrVISTRI31.U'ttt7�.1 _.�...i]Unrii T UnK2 cl ualts cyalt4 (3 0n€ts D iJote i ter lr#0*C4listf*nasrs7 rt <br /> DRESSatr�et i fiieef t�hnne City <br /> EMUS E 0Ly <br /> .__ <br /> 'to Dato%,Vigoof IrAb rat€cn Re,*jested:firorn to <br /> EMIiP.t71•iMENTAL HEALTH DEPARTMENT I"ILES <br /> �LPQaETtIId�MGtt[�`''IUPC(U.4'7 -LEANVPSFfE jWP) C*J MoStS a AsAFEFiS�VY t �SiTt�7�it16&!£�AQft�fYl�fEe 3CY F <br /> �'vmeit OLEauv srT:lootO.,w) 0 Pacer QAcam a imism TrR€ <br /> 3Ctatarwitarr�sacc�:rte{hl' trLxrail Dvt;lfaax>L tea { <br /> j`F:A+;"1tW0tj6 V11's-M Gr'MATom 0 OWKEN RWOR 17,Y><`MTOMM TFEATUMn'PeRur <br /> i italm PEmwn-m FACLny C2 A4O€•WHOT•EL, r3 PUM6WtTM=W( 7'01tEM <br /> C3 UrvwgLror farms 0,P00L1SPA 17 I ran usmApPmAim s yes <br /> 0 AievtCAE.wAsTf.--P=Lny 07HF.R(PLEASE SPEC1FYj,� <br /> V&LL AND SEPMC.PF3RUr lWGMV*#AE AYA1WA LE FOR RWEW-MORDAY-FINDAY 8,00 ALM-619)Pm • EXCUUMO HOLIDAYS <br /> 1. Dist tap to ten addresses fast the slake above. Select the type(s)of files from dit,list ,rave byr checking the <br /> appropriaW box(es), Atleast*ne,r1le*0�1AUS't be selected. Fax tc' 2094-0138 or mail to the add <br /> ia►r3�t �t gave. Address ranges will not be accepted—isw a4ditional trssistaraae With fi24 aLddhmses,,coCLf,i`ct <br /> the EHO..ppllcations rwebte alter 3:00 pirn will be processed Cilie next buarness day. <br /> 2The EK orill notify the eeeef- ificarlt if41py EHD files e)dsL At1i.81ppoi11't1Tlent 1br review will be confUmed <br /> apprtkimategy teat(i€l)day-s atffdr.f06*tolapplicatiaen, The filers will be Md for a *ni**f Blit*busiraw;s <br /> do"fc+r'treview- Appaanwilents eihotdd be'schedctted accordingly. <br /> :3. A►Me that is actively braing worked on by EHD staff may not he tlrnmedl,aWly avra8a*far M. Affiew <br /> application may be,submitkd Mlen the file Is available. � <br /> 44 A1G1py tile.l#tt?r+ tart Kt It>t3fie some co ndition.a€s released will be reorganized by E-10.*Wgil#ae expense a..:tlne <br /> applctrarrt:-r.tlttlrre.se t+earlt by thk;sagne atpr icaant may require a$95.00 c1e+(>!a�lt prior�o r±Es�lrlew: <br /> I <br /> _ M <br /> an04 <br /> 1 <br />