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9164839268 HURNG ASSOCIATFs <br /> PAGE 91 <br /> OA] <br /> [ EIS LOQ Nt1MSM <br /> SAID JOAQUIN COitNTY <br /> 1. �D�J 1 ENWRONM NTAL HEALTH fti"TMEN'x' <br /> 304 East Weber Avenue,3"Floor,Stockton)!CA 95202,2708 <br /> ENVIRONN-1 : T HEAT bone:(209)468-3420 Fait(204)464-0138 Web: www.sjgov-org/eh� . <br /> PER MIT/SE RVI vES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPL.`ANT.• fficaA(#FwCY: p moi} M <br /> • AaDttE$S: z'k'A+_ C�4i BTA'IF OF <br /> PHINE(1): PHOM M r FAC#rIM <br /> 1' <br /> TBATIVE*APPQIK'miw PATE:, .a , 2y � Tlr�: QCseAll <br /> { (PW=o aftwr 40bus wMays f dam dab al 6PPUCOU"iu�-•moony-m ba earglieMdi <br /> r <br /> L IECK SOX TO EXl*Epl TE REQ W FEE H QR CHECK ONLY) 1A2QM5T PROCESSED M 3 80MO DAYS <br /> SIGNATURE OF APPLICANT <br /> EhCp+Ot�lcAW „ s <br /> llryrpn11 011 LJfft 0 atop-D44PGr1~ <br /> FIi.E ADDRESS END USE ONLY <br /> S61Mt R obrat No” Cry ; <br /> 1. 3 C3 Unit 1 <br /> 2• a` <br /> �X3. '` Il Unit Z <br /> s � <br /> T. E t, <br /> w ,, <br /> A "Li vu tug <br /> Elk-. T O Unit 6 <br /> SpaCMC Gate Range of Information ROquesbrd:Fran MO 77 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UkVU�10 M T#AX"T)CL Sm[OOP) O AMT T �' 0� ST!WAFACp.MNAIME <br /> '�CsEm[4;1sAxur errs(Neq�OP) O FOLD FAQ Y G WAM taco <br /> TAiaG(aAoraiparl llwvAL) 13 DW near Q',DJur<lr <br /> HA:ARDOIN WAST9 Mr+MTOR fl caimm RAw" lKAai1l411ATER r <br /> T TICOM PO MMM FAGILm 13 NAI"ftffl=ft ©'puivan <br /> E3 TATToftsmY PERCM Gl P00UNPA C3 t,Ala? .AfrlJCA s <br /> #1 ME01OXWAMI'ACILITY ❑011=(PLlAalSAtttIFYI �, ��' '�' <br /> WeuAND SVTIC PCPJW RFCOROS ARS AYALAELE Faa Ri 1n M-MONDAY-FRIDRY e:OD AM4:00m - EMMMO HOLIDAYS. s <br /> I. List up to ten addresses in the space above. Select the type(s)of f(le�from the list above by checking the <br /> appropriate box(es). At levet one file type MUST Ile selected- 2 r Mall Lo <br /> M11 address <br /> kdlr, bav2. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> UM EHD.Applicatlons recetved after 3:00 pin will be processed the next Wslness day. <br /> Y. The EHD will notify the applicant if any EHD flies exist. An apWntnlOnt for review will be confirmed <br /> approximately tori(10)days After rec0113t of application, The flies will be held for a maximum of five business <br /> days for review. Appointments should be scMduied arcordinSly. ''' <br /> 3. A flit that is actively being worked on by END staff may not be Immediately available for review. A now <br /> appliccatidn may be submitted when the file IS available. <br /> 4. Any file not returned In the same condition at released will be reorganllted!'by EHO staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a<$93.00 deposit prior to review. <br /> Ion 1.2004 <br /> a <br />