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'FROM FAX NO. `Feb. 15 2006 11:57PPV P1 <br /> yaasreleAwaA� <br /> i <br /> i <br /> (7G LOG NUAIW-.R <br /> wre rsECEt>�u .,_ SAN JOAQM COUM <br /> (c�1 E'NYMONNMAC.HEAL18 DEPARTMENT <br /> U � 304 East Weber Avenue,311 Floor,Stockton,CA 95202-2708 <br /> NOoe:(209)468-3470 Pu:(203)464-0138 Wcb'wwv s)goV"Vr hd <br /> \ sonNME�EnVICESS MLIC RESECORDS RELEAAPPLICATION <br /> L 1 �L �VDNW ll s8f0 W�1 FfZ0APPr x AN7. T4 D STATPAGGRMA: CEN <br /> I Pnone(Ip <br /> X209 3(�I~7301 r4=W °q 3 ~ 1D3 FAcsare�� 9� 9•—1 <br /> TENTATIVE*APPOINiYM GAIL' Tana: <br /> 14c, <br /> (Plaara aRox la Wllnaa:daye aaa Gia d appamoar ad lMftW-'Tarlac W*•moat W canlalard) <br /> O diECK gOX TO EJpPEGtTE RERu/ )T�f91ea P ABH Oft /a�Ota- Q=T PROCF85Eo IN 33 eusafc85 GAYS <br /> SIGNATURE OF APPLICANT ui,.,�`�—moi BATE c�c –I✓��z�� <br /> Eirctra ❑ LlGt p,�- <br /> 4.rvrmiKan <br /> Ii r AOOREBS _ EHO USE ONLY <br /> V saves 9aoa Name <br /> L ❑ Unit 1 <br /> 3. a/a3 <br /> 4. nit <br /> s: L7 Unit 4 <br /> T. <br /> $ ❑ Untt 5 <br /> ,o ❑ Unit 6 <br /> specific Gale Range of Infomabon Requsstad:from to <br /> ENVIRONMENTAL.HEALTH DEPART MENT FO-ES <br /> 19NETTs.,-To... <br /> 0F40WABArutl&'t 06010wAMPAearrravrrauEO Fano FAoam ❑wAM TIRE <br /> p oat KpaugL O GuarPwsae o Gotten RAxAa ❑wAS1EaATBRTiA2'ATW%T RAer <br /> 17 T,J PMUKnW FAcu;r G acrvj a El r VW=T9MVARCK11EWCI AL TOAMe <br /> p WPoatSfA >(LAW Ufa APPUCATM WN <br /> O TArrool W P r o o„wc IPwaa arAcn'L <br /> p Ma" AsrE P/WQLatt --` <br /> 170UanVC. <br /> W%LARP Swr,e ra ARE AVALAVV FOR RWM-YONOAY PRGwr�ea Aa�.90rr - D=WP�o <br /> r <br /> t. EiSt up to ten addrmo in Cie Space Above- Select the type(s)of foes from the ilei above by cbaeking the <br /> appropriate box(as), At least one file type MUST be selected. Fax to 4e4 58 or mall to 61Q dregs <br /> Indicated above Address rangea rapt not be accepted–for additional ass9stance with file addresses,=Aaot <br /> the EHD.Applications received after 3:00 pm will be procesad the de33 buelness day- <br /> " The VD will notify ft 8pp U any EHD files ext*t An appoln"wA for review win be confirmed <br /> opproximalely ten(10)days agar receipt of application. The JIM will be hold for a maximum of five business <br /> days for rovkw. Appointmocds should be aclleduled 60cordingly- <br /> 3. A file that N,acftety being warkad on by EHO 6talf may not be Immed"mtsy,avaRable for review. A new <br /> appticauon may be submitted when the file is available. <br /> 4. Any the hot returned to the same eondGfon as released will be reorganb:ed by EHD atafftAt o r the <br /> Cx 9 of the <br /> appticanL F4tvm file reviews by the same appiteant may require a$8300 deposit prior <br /> � a <br /> IIa <br /> ^? <br /> '114&1 <br /> lrmuar <br /> INNpIr <br /> 10 391d H17d3f -HjN3*1CWAN3 ( 86T0491, 81-61 908Z/8e/70 <br />