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"0 /27/2005 17:05 5108342 PAUL KING PAGE 02 <br /> W LS IS u v SAN JOAQUIN COUNTYENVIRONMENTAL HEALTH DEPA4lV1Ff jui i 2 3 2005 304$ast'9Veber Av=w,9`r Floor,Stockton,CA 95202-27Fq �Telephosa:(209)468-3420 Far: (209)464.0138 Web:www-q Vy.onvcfid <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. t.© �vr roAme,t1�.1 outuxrsaAGaaev: <br /> AUDR M <br /> FNOlM.Nk_.�3o�LS�� 641b PHONE(s): FAgiMu.�: �-i.d-839-t <br /> TENTATIYL'APrOwntoff DAIS <br /> (Pkwre snow 19 bush""darn tom chit al .-r*Awm Oleg•nwo bo ce,A,nmd) <br /> CHECK sox TO EXPWMLMQUftT."Lao Poe(c.A 4CHEK ONLY)-REQuaaT pROCME01N i autWESS DAYS <br /> SIONATURI:OF APPLICANT DATE <br /> uHrt WSTRtsirTlON <br /> Owl C Weta a urates ❑una4 Dunes a unne in 04Mrl�) <br /> FIl E S E:HD USE ON Y <br /> slnx.lr atro.L Nemo <br /> 1. Ts <br /> s. l r - q 1 <br /> 8. <br /> 4 O S i se Mia ,i h, <br /> 6. 1 rap ✓ <br /> 6. �t -77 F7 �\3 <br /> T 61 S n <br /> 10. <br /> Speellic DaO Range of pHonnatlen R"ussted:From tsa <br /> ENVIRONMENTAL HEALTH <br /> 00 <br /> SITs(t/aF1AP) O tcoo F DEP : ^ <br /> TAM a WASTE FAOLfrWMtt. <br /> ! <br /> WAR TnaTAO <br /> Crum <br /> Aw <br /> Y <br /> (MOH ORNOWRIMOVAL) 4 Dae Kaman. - `Y ,`§' P PARY <br /> O HAaAADM WASTE GOR MTOR O CsOMM `" t7 WAmMAYHI TMIATM wr PLANT <br /> O TWYO FOU000 PAeamr 13MOVAA40M VJ 0 PUNPIR TMICIWANO(CIMM To"T1 <br /> O TATs OMOVYPEWA*4 Iq PO%WA In LAW WfAMMAT0MSM <br /> 13 MadCAL WASTE FACKM 11 a*W VUAa irtarrl -- <br /> VftL.Aw samw P~P900rma Amt AYALA"FORRIVAIM 840MGAYFRMAVf:00 A01-5M M . e°%f%:)WICHOUPAYR <br /> 1. List up to ten addresses In the apace above. Select the typ (s)of files from the list above by choeldn the <br /> appropriate bmq*s). At bast one Ole type MUST be selected. Fax to(2051464 018!ler a to the>, rest <br /> Ws .*,, Address ranges will not by accepted—for additions[tselttance with file addressee,contact <br /> the D.Appikadom received atter 3:0a pm will be protested the next business day. <br /> 2. The EHD will notify the applicant N any EHD files exist An appointment for review Will be confirmed <br /> approximately ken(10)days after roeeipt of applioation. The 111"will be held for a maximum of five business <br /> dads for review. AppoirdMents should be scheduled accordingly. <br /> I. A 1111 that Is actively being worked oa by EHO SUM may not be Immediately available for review. A new <br /> sPplkstlon may be submitted when the file Is AvOlable. <br /> 4. Any file not returned In the Same condition as rokased will W reorganized by EHD staff at the expense of ft <br /> applicant Future file reviews by the same apptftm may mqulre a$v3.00 depositprior to rwlsw. <br /> �i <br /> Iva <br /> ," <br /> Te 39vd HL-01H -N1H3'fg 1AN3 8610694 CE;9L 900L/[L/90 <br />