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FROM : B. Z. SERV I CESTAT I ON MA I NTE]WE <br />FSCD <br />Eh;V1R0,NSe,EN) HEhLT i <br />PER MIT,/S[-RKES <br />FAX NO. :916 371 2540 on, 07 2005 10:09AM P2 <br />1- it 1 H V LLLIN . tIAL-k- a1 <br />SAN JOAQM r COUNTY =_t" "Ai Kum <br />ErrMoNMENTAL HEALTH DEPARTMUM <br />344 Ent Wober Avwue, 3' Floor, StooWn, CA 952o2-2708 <br />Ttkpheoae: (209) 468--3420 Fez. (209) Odd-0138Web; www4S0v�M fwd <br />A -PU UC RECORDS RRLEASE APPLICATION <br />TrWAVP4E*APPmyvzmTVATM <br />*NOW 10 b Wrozz f vm <br />$pbciflD bete PAnpe of k*Prartaf an-Paqueaftd: F'mm <br />' kh*ftW%W TAM (M) GX� &M (LOP) 0 aRaue M ARATWiIM 0 M.W WASTE FAMLM VSMLEr <br />ii aftr�li CUANJP lm px,_U:Pp C3 R KM F,UnY 0 lfllASM TWA � <br />WliM09RWWEM TAW AL) U VWKMM M DAaetY <br />© KArAP=M WABTE is 9+I MAMR ❑ CMC W PA" ra WAMWAT®t TIMAylrU f PkW <br />0 TMPM PaWMWFACLtTY © Munamcaml, Cl PVWW TRr)WYAl7VQW0TOR O <br />C1 TArmxmooDY PNPCM 0 POMMPAl] Lb Us9 Ar chest <br />MMMCJvt WAeTNFAGUtTY 010TWM(PUFA= art UtV �A14*si ; in Ori ,�kti� -rA <br />"ILA uswrMPERWr RWOR01 MEAMLABLE!'QRlfi6YlarIU- M ONDAY.FttaAYb-00Alt4-0" - RMUM04HOL1D Y& <br />t. Lid tip t* ten Addra*W In Me spa to abom fielect the type(t) of hWs from that list above by dmMng the <br />APP b**$), At feast one file type MUST be naloctcd. falx to (209) 4 A$ or mag .& IM address <br />laft-akdAbom, Address ranges will arca be amopUd —for aWityona l MIstance with flia taddn w, contrtct <br />t EKD. Appjlcaticirs rftelved after 3!00 prn Valli be pmc ceased the n*xt buskums day. <br />2, Tho EHD will notify thw applleafrft if gkoy EHD fid •khat, An appolntinettt for review %40 be confined <br />m*"RtelY tan (10) doo xflnr recelPt of AWIcaffan. Ttw files wW be hold for a maximum of five businses <br />days for ftvFew. Appointments should be scheduled scrordIngly. <br />3. A file that M actively belin$_.rv�!ifp'd on by EHD staff may not Ibe Immedlafiely avallable for review. A flew <br />application may b* subrn tt4initifen the fila to available. <br />4. Any file not muirned In the same .condition as released will be reorgatt, ed by EHD staff at the expense of the <br />appacartt, Future No rw.49 s by the same applicant array require a $93.00 depofait prior to review. <br />yy/( t} cl L <br />f,� l� !, <br />P <br />