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FROM : NOA Environmental . PHONE NO. : 209 369 4228 Feb. 06 2002 10:33AM P1 <br /> SAN JOAQUIN COUNTYPUBIIC HEALTH SERVICES <br /> `I[:AJ ii ENVIRONMENTAL HEALTH DIVISION <br /> '04 1:AST WEBER AVENUE.THIRD FLOOR <br /> sTOCRTON CA us= <br /> 02 FEB -6 ui i0. 42 (203)4U4= <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Aartsca�tT &LAA a A zUzWPSt3Auv= i L OEK,--DO N 4 ASS O G <br /> ACAR=S 2-9J t�i. t+D US ►0 tJ LA-t-3 to Lo Eyi , C fir ci 6 2. <br /> PkGNE ZOG- r3� - 3"b I PA4MMaf Z-Oq- 3Lp 61 - 4225 <br /> TENTATIVE'APPGIHWD r QATE J Z Tna <br /> (Pius+terw7to�C �stsaat ►ctappflaaggp�upaiutttul <br /> &IA.11 <br /> CHECK BOX TO EXPCDrm RL-QUt.v• 0 i+rl�_.a.r„�atr iU 3 B1eZ nz DAT <br /> SIGNATURE OF APPLICANT DATE <br /> F=AUDRM <br /> 35 a c a <br /> O eve �z i S 1 Mc <br /> I CPO <br /> Rr e a Lr L i 3S�(i <br /> era Lh E 35-P-T- <br /> 1 <br /> 1%IVIRONNENTAL MALTH MISION FUM <br /> UtiDtitttlRQUMD TAUK it3>rIl CLEANUP SM(=I a. 40U$1NC ASA't8lJW a ZOtM WAM FACWY <br /> OTiIIiR CLBJIUU?t31TE(tICN•tGPI II FDOD FA== D 3=D WAST&V }i=Z <br /> ut aztouixo TAwc otos � � a Daaxalou aDAMY <br /> MA=ARGOg3riAiTII GIIIf!RaTr3lR C Cw=0 Lmm O WO Z�T&Vw PLANT <br /> Q 7mtra tnamenlA�Lt:Y mi, n V0janZA'>=CWVAXUf0 iT0 EM <br /> a 7&TTcOIBODYP01=in t:33 PoOt,MA a LANG1=APK=T==U <br /> a t=AL WA=FACLnY D PUZL=VUATER sYaTtM G OTM(KEM MMEWY ASOM <br /> 1. List up to ton addresses in the space abom $itlaci the types)of flies from the list above by chacking <br /> the appropriate bax(aa). At toast one ilia type MUST be serrated. Ft to(2gM 464139 t►r mail to the <br /> address indlaated above, <br /> 2 So WM notify the app:kant if any EHD fPAS test. An app for rovi&w wilt ba confirmtd <br /> Epp, dnaWy live business days but no iafart=ten(10)days after"Kaipt.of appikaU= The flies <br /> will behold fora maximum of fore b>,>%==days for review. Appahttmsnts should be scheduled <br /> accordMgly. <br /> 3. A file that is actively being worked on by EHO soft may not be tmmudiately avallabie for raviaw. A new <br /> applizatica may be Submitted wham the fico is avaltabie. <br /> 4. Any the not rewmsd In the game condition as reismed,will ba reorganized by lM stats'at the ezpvnae <br /> of the spplicaht. Fu=*fA'review:by Me same applicatrt racy reguim a Sl 0 deposit prior to review. <br /> S. 'TENTATNE appoinbnutt dates Must be cortMund with EHD ttttf. <br /> L Applications received attar S;tJD pns will be Focused the next buzinwm[lair. <br /> CONFIRMED Appowmw DATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> wca+. <br />