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EiZ LOG[IUM;r-R <br /> DATE RF� SAN JOAQUIN COUNW 7 <br /> ENVIE QNMr=MTAL HEALTH DEPARTMENT <br /> t868.East Hazellon Avenue, Stocklon,CA 95205-6232 <br /> Triephone:(209)4613-3420 Fax: (209)464-0138 web:wvim.sjgov.org/r.hd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSIHESSIA�1FNCY-, <br /> -YISTA7EIZIP. a0 6 <br /> ADDRESS, <br /> 'SIMILE. <br /> FAV <br /> PHONE(2). <br /> P"GNr <br /> TENTATIVE'APPOINVAC DATE: <br /> (Plums*Vito w 10 N:;&aicrus days frCM dtf-tv-,;D I T-;T—ppl It—Ml&11 aubmk, 7LOfg We only-mush he c-00111-Mlyd <br /> cHEcy 60-X To E>TEDjTa REQUEST-$125 FFL[CASK OR 17-11FCK ONLY) RECUPST PRO--E8SE9 IN 3 5USINESS DAYS <br /> SIGNALTURE OF APPUCAMT-'­r':--�-�— DAXE <br /> Efectrotlic In Map-Desceiptiom. <br /> FILE ADDRESS Fri—busV= y <br /> City <br /> 7 <br /> 2- <br /> UFtlt k <br /> 2 <br /> LIFIN S <br /> qA, <br /> EI Unit <br /> L <br /> 5jPtC1NC Date Range of Worrnaffon Requiorod, From 4-P r, - "7 <br /> ENWRONMENTAL I EAL 1-1 DEFrARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP Sm(LOP 1 0 MMICAL ftslii FAimury r,-j SOLID WA5Tr-FA6tM/VW1ClX <br /> OVER rLCANVP SUE(NON-tOP) [-JKU051NoABATEk1rzw C3WAZ;-MTIRZ- <br /> Utro mwm Tmx(MumT=Nv'RFWVAL) FOOO FACILM Z)AIRY <br /> ASOYMMIM TANK UCFr-CK@q ftmaW Doo KEH47EL WMMlow M- TREATtdzu PLANF <br /> ❑HAZAauous WWFAWAPMOUS WTERW-s 0 Mo-lr-Lfflora D Puiapzq TriuoNAWCtim=.Tax-m <br /> C!Trmm FERIATTED FACEUTY Ej POOLISFA E-j LAND I.I$C APPLICAMN Srr.9 <br /> F.1 TA-1`00180"PER-CIN5 []r,0,jFLAw1Rzs1°t;7piss RECORDS Ej K3Y R{Pjf.A3[-SPECIFY) <br /> WELL ANO 5 FPTic PER&UT F.EcoRus Ap-v AVAILABLE FOR R.EViEW.' MO NDAY-FftiriAy 9:00 Am-5-300&%(EXCLUDMO HOLMAYa) <br /> 7. Lis4_s to totejaddr tyas In the%piwe above. Select the type(s)of 111as fr*rnft ristabove by checking the apprapriate <br /> box(es), At I,aaat orae f!14-typo MOST be selected. Fax dross 616kated abuvg..- Address <br /> rangos MN not bru mccepled-for acidWonal aSS:11111e:a With file ad(Iress <br /> es,".'L3,UQjjj*Ct the LEHD. Aplatt-cations racelvtd after <br /> 3.41a pm wIll Em proc4ssed the next busincts day. <br /> 2. Tire EHD wilt riotffy the appilcam If any 1EHO fil"exist, An uppoIntment foT review will I�cviiFiumatl approxrrnate¢y ton(10) <br /> The flies wilt be be;d for a,maximum of five business.Ooys for rtwlpw Appointments <br /> shtuld bo schoduierd amordlMly. <br /> 3. A Me that is actively being wo-r*0 on by END staff may not be immediately avalluble tar mVuaw. A n*w appike.lon misy t;v <br /> submitted whew the fflo Is avai$akilm <br /> 4. Any file not-rot Lirne-0 In the ser".cantliti"as iulD as u d WAII be reorgon rzod by ZHD staff at the exme of the appl Ica nt, <br /> FLAure filo ra-views tiro same cppl"nt rmay require v!jI25 depos <br /> it prior to raview- <br /> V <br /> 4 J-4, <br /> -41" <br /> . <br /> L.Y <br /> --—---------- <br /> 'E <br /> Rome. <br /> ........... <br /> Received Time Mar. 29. 2013 7: 18AM No.. 2706 <br />