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03/27/2006 22:59 12094745 DEUTSCH • PAGE 01 <br /> u �%;WVEU SAN JOAQ'UIN COUNTY <br /> 2006 ASR -5 AM 10: 03 ENYMONMENTAL HEALTH DEPARTMENT <br /> c u i B T 504 East Weber AYenuc,3rd Floor,Stockton,GA 45202.2706 1 <br /> EN v I IR U H K E N T A hoar:(209)46&3410 Fax; (209)464.0136 Web:WwwAJ80Y.0r91Chd <br /> HEALTH DEEPAi2T.4 ((( <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ADDRM:,„ /*T3o ��Y,�fRr STATE G°A PHONE 0Y. /ff0 PHONE 121: FAcstmm .-.-...,-.- <br /> TENTATIVE"APPOK MEWT DAMTimO: <br /> (Pwas.o0ow Te beskma says Rove 000 of tppNaeflee cube MW•'Takaom only•moat bs oo�iTeaKD <br /> C1 CHS M Hox TO rxPEfNTEMpMglr->i9AeeH OR CHECK ONLY)•Rfi HEST PROCM N3 MOM"DAYS <br /> SIGNATURE OF APPLICANT () PATE �a� <br /> ETeGhOc�O O LM d IAsA•Doavfi <br /> Fil P-AwRess EHD USE ONLY <br /> suase f atceet Nerve <br /> I D Unit 1 <br /> 2. D Unit 2 <br /> 3. arc <br /> 6. �► nit 8 <br /> E. Unit 4 <br /> T. <br /> � 5 <br /> 9. OAM—A "j° Q Unit 6 <br /> 10. -do-ff <br /> apeciyio Debs Raimo of k WM;ktlon Requested:From /L"0/—90, to Y-7.,�^Q' -.._—.--- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,rftawei qr.*1 .TANK(UaT)OLE aur ane(LOP) C3 Homme AewrFxFxT a WxW woma F^(*M zWA1 <br /> „et"OT"A Cmmw ant(NOK4oPl O Food FAasm' in wAera T" <br /> ArUwgooaO TAW(M0r 0KKMIRVOWAL) O Doo KV40L 0 DAILY <br /> ,VK*1A 5M4WASTEGEMMT" OCW-K"RAMON OWAtTOwATSATarAnMrPW(T <br /> ❑TaAT:O PtfaaTWO FAGUTY QMOWL440T& 13 PWM�aRTPAMd YAFMFcKRA%*ALToLTTS <br /> M TATTOOMODT PnKcga Poqusim LAW Un Avn.wATTOTl4:ma <br /> M MKOPAL WAM FAMOTY On=(PUAKp of Yl � <br /> Wtr+.ANO Barts PEIWTRFCOKOS Ata AVAWLe rOa ltiVlaw•MONDAVPKiOhY t:00 AJA•a:Obi'M EXCI.UDIke HOWAYt <br /> 1, List up to ten sddrsssoa in the space sbOve. S61e0t the types)of files from the list above by chscking the <br /> Appropriate box(es). At least one file type MUST to aslactsd. mall WiLiL gma <br /> indicated shove- Address ranges Will not ba accepted-for additional assistance with file addresses,contact <br /> the END.Applications reoolved sfter 3.00 pm will be procsseed the next buslnees day. <br /> 2. The EHD will notify the appliunt It any EHD files oxfst. An appointment for review win be confirmed <br /> approximately ten(f s)days after rsco(pt Of application. The Not WIN be hold for a maximum of five business <br /> dsys for review. Appointmeatt should be scheduled accordingly. <br /> 3. A file that is actively being worked on by tHD staff may not be tmmedlatsly aysllabla for review. Anew <br /> application may be submitted when the file is available. <br /> 4. Any tits not returned in the Gams Condition as released will be rsorganlxed by EHD staff at UW expense of the <br /> applicant. f=uture fie roviowa by the some applicant may require a$93.00 deposit prior to review, <br /> Zz <br /> ao M-0R <br /> +✓cM�c <br /> Tn '7tMA H11u3H T'lhr3`lrA7NI.4K3 8ETe49b VZ:50 990Z/SB/t0 <br />