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03/27/2006 22:59 12094705 DEUTSCH PAGE 01 <br /> w. ne�k�vru SAN JOAQUIN COUNTY <br /> 2095 ASR -5 A�r 10: 03 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 5 A F. 10:1 .'.: C J P,T'M4 East Weber Avenue, art Floor,Stockton,CA 95202.2709 t <br /> EN V Int J,is i-i E N T A't"hanc: (209)469.3420 FAX; (209)464-0131 Web:WWW SJ8ov.or&Jchd 'fin/ <br /> HEALTH DEFAt�TH I i U <br /> _ PUBLIC RECORDS RELEASE APPLICATION Z29 <br /> 7 <br /> ADDRM: ._._,.L,tljo <br /> PHONE(1r —Ime PHONE(t1: <br /> TENTATIVE'APPoiK1WKNT DAT*: Time: <br /> (Pbaes allow 10 twakWo days Nora dale Of glPMaetlea MAM W•'rella0ft only•roust be co m" <br /> l7 OREM aoX TO RXPFptt!RE T-4eT e0 H OR CHECK ONLY)-MQUEST PROCFa SD IN 3 SUVNESS DAY:5 <br /> SIGNATURE OF APPLICANT <br /> Wo O Uot b slap•n�A f4' J <br /> FILE ADDR 83 EHD USE ONLY <br /> Ottaet 0 stred Name <br /> 9. O Unit 1 <br /> 2. <br /> a, cw- ver ❑ Unit 2 <br /> 4 Unit 3 �I IBJ <br /> R. vie <br /> 7. Unit 4 <br /> y I E) Unit 5 <br /> o. © Unit 8 <br /> Specific Date Ranpc of Infonuation Requetted:From F'P/—q4 to _- 7 L-0 fe,_,—,_.,.._..__. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,Y.rUNDViOROUtDTMK(voT)Qnxursn9(LOPI DHOUMG Aewn¢xun In 3auo WAN FnaurrlveRrU <br /> OT%eR CL.CANDr Sot( 'I-OP( 0F000 FActm DWASTE TM <br /> ArbNDWOMOMM TAW(MOx OaWNREMOVAL) ❑Doe KERM 13 DARLY <br /> .ArmAtAaeaul WASTE 01munm OCMcsmr RUMH 0WA&WKAMTRLATM1rrF6AW <br /> 0T1WDP9F4WM0FAUTY PNOTWHOML D PNMiRTg4LWYA#M1c"AY0ALTOWM <br /> nTATT0=0DTP11ACMNT tnPooV$PA DLAwUmArrt A"iSom <br /> 0 MIOVGAL W04TI FAFIUTY 0 OTKrt(15"An SPMOFY) <br /> WUu AND Berm FERwTRr oMot ARE AVMLARF roR nvlaw•MONDAY-FRMAYMOOAaA CON . ExcurDeleik MAYA. _ <br /> t. List up to ten addresses in the space above. Select the ty(M(s)of files from the list above by chaeldng the <br /> appropriate box(as). At least one file type MUST be reelected. FM to(292146"138 or mall o the S!rM <br /> IndiWatrd above. Addre"ranges Will net be accepted—for additional ast-Wanca with file nddresses,contact <br /> the END.Applications received after 3:00 pm will be processed the noxt business day. <br /> 2, The EHD will notify the appNGant N any EHD fiilse exist An Appointment for review Tv19 be confirmed <br /> approximately ten(10)days After receipt of applioation. The Nes will be held for a maximum of five bveinesu <br /> days for review. Appointments should bo scheduled secordingly- <br /> 3. A file that in actively being worked on by EHD staff may not be immediately avaliabla for reviews. A new <br /> aippiication may be submitted when the fila is Available. <br /> 4. Any Tile not returned in the same condition aT releacod will be reorganized by EHD staff at the expens s of the <br /> applicant. future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> iMk Ilk( <br /> C <br /> two MN <br /> �aaN3r0r <br /> TO 'An'Ja HLlv3Fi 1v1N3NN721LW3 BeT249b 41:50 qw/se/D0 <br />