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From:MARCUS H. BOLE AND ASSO�TES 530+633+0119 10/1005 14:32 11007 P.002 <br /> 10t10/2006 119:57 4540138 EWIF04,ENTAL FEALTH PAGE 01 <br /> SAN JOAQUIN COUNTX <br /> Ef <br /> ENVIRON AL HEALTH DEPARTMENT <br /> 304>�>�e�AvuwA 3'd Floor',Stxkon,CA.95202-2708 soy <br /> OC-1 i G '1005 TekPttoa«(209)468-3420 Fax:(209)464.0138 Web:wwwsjgov oryJehd <br /> N f IiLALTH PUBLIC RECO S RELEASE APP'LTCAMN <br /> IWSa EWAG9 =-. <br /> wolzEss 117�Y .4= �� l�vim ,�� l.st 9-2 <br /> Hote119'�'��"6�i� -2 ..__H90wP( -9//, -75/7 / <br /> _ =fACS9tA1LE -t!s'O_ _l,�,1 <br /> Tt;NTATIM APPOCi1 MkTOATC L/fd�t /nom/nJ _�n■e:. <br /> J/ (�■ m 14 kagnm data fret bare a F ■uga[ea9.°rmuen anit-nu=t be�uraeo <br /> f� C161 8%TOE7Woorm T•IBI001M(CAM OI QIMOMY)-FW=PROCEsM*13 WStmsDAYS <br /> �`IGNATURE OF APpLICAKf PATE <br /> UKTD[STIV3U4on ntkdes aurae: Urxs b uraea 1300w *k"") <br /> ME ADDRESS USE ONLY mm6treale stftKHMO cw <br /> 1. B 0 Q'� <br /> 2 <br /> 7. <br /> 9 <br /> 10. <br /> 'specific Date Rmp of Inrwmaf*n Requested:From to <br /> ENvIRommE fTAL HEALTH DEPARTS wr rus <br /> � lRWTANK(USi)e1FAr■9rUtmO.OP) 0lB7WK AMTVMW O O"WAM FAOVrOVtH= <br /> ' <br /> EF <br /> ur (NoerWp) oraaoFaslm aWAMTM <br /> F(i, <br /> TNOCarSAL) 0 DW KEm0M O DAmf <br /> WA$T9G7IWAWA 0:= 6 WASMWAMTFZAV&WK PUW <br /> Q TOM Pumrne FAM" a Q Pu■vwTFmXwAvZfC? irT0Km$ <br /> d TATT0OV=YPMMM a POM)SPA O eAMONAPMOATOK Seas <br /> UaQICAIWA"EFIAARY aomar m8PFCpy) <br /> WV-LMOSCE=PBMTFtecw=AFmAYAL-AMFORro':ym—tliaoAY FiflrMYt'90 AM-6.•OOeM -Facr�.LOWs tlxAwln._ <br /> 7. List up tolen addreem in the space above. "led the:types)of files from the Ret above by eheem"the <br /> approprWe beuc(es). At least one file type MUST be eeWcted, Fax%M)AU-M38 or MN to the address <br /> IJi domed kdove. Address ranges will not be accepted.-for additional ascWtance with file addresses,eotreact <br /> the Applications received after 3.00 pm will be processed the next business day.' <br /> 2, The EHD Will notify the applIUM If my EHD files exfsL An appohtrnent for review wM be Cortirtned <br /> ipproxhnately len(10)days tlfter receipt of applCaUm The files will be held for a nwjibrN of five bUSkKss <br /> daft for review. AppoinTmectts shouts be scheduled aecordm*. <br /> 3. A file that Is scUvety beteg worked on by EHD staff may not be Immediately avallabie for review. A new <br /> awl0afwn tnay be subr ted when the fol a Is avallable. <br /> d. Any Fite hot returned In the same condition as released will be reorganized by EHD Staff at the expense of the <br /> appfceanL Future file tevfevrs by the same applicant may require a$93A0 depositprior to mvkw. . <br /> -e <br /> I <br />