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OW U41 ZOO t 0,i: 54 <br />04/04/2007 16: <br />DAYS AEcElveo <br />AP'PUCANT: <br />A0*RE33: H <br />PHONE tl� <br />TENT <br />© CHECK *0X <br />SIGNATURE OF A) <br />20y23'J98b3 SUNPOST PAGE 02 <br />20 13$ ENVIR"ENTAL Vi (Htj AQ NUMB it 2 <br />SAN JO A QUIN COUNTY <br />EmRoNNzNTA.L HVALTH DErARTMENT <br />304 East Wcy cr Avenue, 3`d Floor, Stockt41a, CA 95202-2708 <br />Telepholve: (209) 468.3420 Fix: (209) 46"138 Web: www.sjgov.ory1chd <br />PUBLIC RECORDS RELEASE APPLICATION <br />WSINFIVI IA0at0r: <br />-fe Cot R) 3 3 <br />PMOXF (E): <br />E* APPOIN WENT DATE: <br />atlew 10 btlrinass days frwm oat« of spoeaslon submltW -"re"O fw only - must bs eon nt►�d� <br />Emb(TE REQU 00 (W" OR "OK ONLY) - R6QU90T NftOCE3360 IN 3 DUSINlS$ VAYtl <br />.ICANT DATE. qlylo- <br />Electronic lnfotmatl n, <br />[I List Q Map – Description: <br />ENv1R0j;Me.NTAL HEALTH DEPARTMENT FILES <br />O NIA6t011 OW TFNJK <br />c,kANIIF tilts NW) G Nosasssf AaIAnM9 I[ O vr.srte ReClunManpe.t <br />17 0tlWCL9xYW tints fN <br />FILE ADDRESS <br />EHD USF" ONLY <br />Stns s <br />8b et Name city <br />13 unit 9 <br />F2. <br />G MO tRtl loTcf a NOM T"6*0YA"1C"EM Totters <br />G 6tI a <br />© Unit a <br />3, <br />4' <br />s <br />D unit 3 <br />1. List up to wn add <br />va In the space above. Eielvet ft type(*) of riles from the list above by ehE acing the appropdalt�► <br />W* 4 <br />s. <br />i. <br />— <br />epted–for additional aaslstance with Me addresses, contact aw EHO. AppllcAon* rowived afiar <br />❑ Unit s <br />a. <br />�.Lot <br />10, <br />a applicant if any EHD files exiat. An appointment for ravlow win be cc nfirrrred .,pproxlmetsIy ton (10) <br />im s <br />SpecOlo tate Range <br />hdermation Requestee: From _ i I U-e.7-c-- <br />ENv1R0j;Me.NTAL HEALTH DEPARTMENT FILES <br />O NIA6t011 OW TFNJK <br />c,kANIIF tilts NW) G Nosasssf AaIAnM9 I[ O vr.srte ReClunManpe.t <br />17 0tlWCL9xYW tints fN <br />-Ltd 93 FOOD FAWN a WASTV -f," <br />C3 U?lo 1UIDuW T*W <br />41M MOVAL) 0 Do (tom d DANtr' <br />El HAVAIMOWAaTSGRa <br />8DR [n RAN= C1 WAaTRrA41RU MENTPWOT <br />D TSN= reVAM 4D F <br />G MO tRtl loTcf a NOM T"6*0YA"1C"EM Totters <br />n TATMOMM. PNf WM I <br />D po"r, n W.a Uss Apnm. xeN VMS <br />Q ONMOAL WAM FITC <br />D OnnM MXAsi $MKWYL..`�., , <br />WELL AM a <br />PMW Rs8M5 /ug *VMtASLE FOR Rivaw - MONDAY*WQAT IM AM-SWPM - bk XUDMU HOMA'M, <br />1. List up to wn add <br />va In the space above. Eielvet ft type(*) of riles from the list above by ehE acing the appropdalt�► <br />box(es). At ie,, o <br />file type MUST be seles:tsed. 1�]A�or mai r>ys iq�(cat Addresat <br />ranges wilt net lye <br />epted–for additional aaslstance with Me addresses, contact aw EHO. AppllcAon* rowived afiar <br />3:00 pm will be pr <br />sod the next business day. <br />2. The Eitel will notify• <br />a applicant if any EHD files exiat. An appointment for ravlow win be cc nfirrrred .,pproxlmetsIy ton (10) <br />days aper rewlpt <br />application. The 111es will be hold for a maximum of Iive business days for revsew. Appointment. <br />should be schadut <br />accordingly. <br />8. A Ole that is activel <br />being worked on by Emb staff may not be Imnwdiatety available for revlow. A slew appilc don may be <br />submitted whop th <br />Ole is sevoilablo. <br />4. Any Ali not retvrno <br />In the sense condition as released *4 be reorgarthted by Etta staff at the ct sense of the sponcani. <br />Future file revkws I <br />Y the same appitty mt may requlro it $00.00 deposit prior to review.. <br />END LISP_ ONLY <br />