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Ai <br /> JOAQ U I Environmental Health Department <br /> C_0 U I` T 5T PUBLIC RECORDS RELEASE.APPLICATION <br /> EHD LOG 1ti1UMBER: <br /> APPLICANT-- Chris Olsen BUSMESVAGENCY: Partner Enizineering <br /> ADDRESS: 4$6 Larkin Valley Road IrIT ysTATE p: Watsonville CA 95076 <br /> PHONE(1); 831-262-885 PHONE(2)r FAX OR E-MAJL_rnarinust]Isen @grt7d1 .1:ot m <br /> Please allow 10 businesses from f application submittal for the records to be available. <br /> Staff wbli contact you tarraf} �p�t Mate and time to reviewthe requested records. <br /> SIGNATURE OF APPLICANT / / DATE <br /> t. List vo To ten addresses In the space a ow. Address ranges WILL NOT be accepted. Select the type(s)or files from the <br /> list below by checking the appropriate box(es)- At least one file type MUST be selected- Fax to(20914414-0,138, mal tr+the <br /> address indicated below.or email to infoaskehd.com- Appticatidns received.after 3:00 pm will be processed the next <br /> business day. <br /> Z For assistance in Wentifyring the nature and content of EHD records.please contact EHO at the number noted below. <br /> 3. The E}fiD will notify the applicant if any EHD files exist. An appointnwnt for review will be confirmed approximately ten(10) <br /> days after receipt of appli=1on- The files will be held for a maximum of five business days for review.. Appointments <br /> should be scheduled ecsordlhgly.. <br /> 4_ Any file not ratur ied,in the same ceondiban as released will be reorganized by EHD staff at the expense of the applicant �� <br /> Future file reviews bar the some applicant may require a 3 152 deposit prior to re�riew. <br /> WELL,SMD SEPTIC: PERMIT RECORDS ARE AVAILI�LE FOR REVIEW: MDNDAY•FRIDAY 8;30 AM=5:NPM i,EXCLUDIKG HOLIDAYS) <br /> EJectronic information. 0 List[] Map— Description. <br /> Specific,Date Range of Information Requested: From to <br /> ENVIRONMENTAL FELE ADDRESS <br /> HE <br /> ALTH DEPARTMENTFILES (S°�cif�addressee caly,address rates wal inch be acceplaed) E H D USE ONLY <br /> GiiE�a�rwrct Ts^as iv Tl Street Strem Narne Cit <br /> ells:�LOPy Ike <br /> L ,ci-emuNil ik_� , 5400 E. Harney Lane. Lodi 7 aSTI 'HW i <br /> C v JS p <br /> LIST Nnnladr-'t F27--m"11 `= <br /> �'i-fZT3cG�.5Mkm.L� � <br /> 5110.REkt a Ray-o m <br /> �itd Y.+atin Parr•'4ei ids �YPxrr_�tears• <br /> a <br /> Foal Resta <br /> D 7 <br /> � PD7f, qtr WlrF.., <br /> IAF r <br /> 0 Luna L"se A;X4sat=_ae«. <br /> s <br /> Yale�01EITSEA TAre <br /> I i�ranB.mHaasKs!i AST,i-!e3 <br /> hinlele*ralri <br /> wMiff Tye <br /> AJodcae YRa:x�e Paclli - <br /> rmatarBt�tr P# s1G Es tiG'V�r,3� <br /> C[alfmlrti <br /> D otm Wx7 a 5A s,Pr i 0 <br /> e.� <br /> ONLY- <br /> 110 <br /> —l0i - <br /> 2'- 7T ff yy 7T 9 2 - 2 <br /> Records jpr2Xidi d Staff-PPR dom Tete. !3"m Name: ertr as ac <br /> 1868 E NazGilan AyGnue 1 StocKian, Caliiurnta 135205 1 T 209 468--34120 1 F 209 464-6138 11 wwv sjr-erld Cash <br />