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E <br /> 2- 7-07: 11 :03AM; - - ;2099836960 # 2/ 3 _ <br /> JaAQ env COUNTY <br /> • � EHa LOG NUMBERNUMBERSAN <br /> FNviRtoNmaAL HEALTH DF.PARTMINT. <br /> FEB 'd 7 2007 <br /> 304 East Weber Avenue, 3,4 F1Qar,Stockton,CA 95202•-2708 <br /> ENViRO NMENT MEATH' Telephone,(209)'46$-3420 Fax:(209)464-013S Web:www4gov.0re a id <br /> �2 0 <br /> PERMTMERMIS ' <br /> PUBLIC RECopDS RRLEASE APPLICATION <br /> 3 __BUSINESSIAGENdY: vet d - o t�5 ` 1E55a1k <br /> ? APPLIGANT: �ti`PL�GI.�d �ieesr <br /> ADDRESS: 2�2 �a • ✓V ` w Sur' <br /> yd0 S4* <br /> j PHONE{i}: 7,OCI • (Q {0 —PHONE(2): PAWItAtIE: Y3• (�`�1[O <br /> TENTATIVI="APPOINTMENT DATE. 4 tA r� Q <br /> J {Piaase allow itl.baslnew days from date of ap q<MoR submittal-•T•wzMVvo only-must be c ed) <br /> CI CHECK BOXYO EXPED1W REQUEST-i FEE As E ONLY)-ROEQU EST PROCE55ED W 3 iiSlt[ S DAYS <br /> j SIGNATURE OP APPLJCANT DATE 2 <br /> ` Efedranfc lntotmatlorl� [j List Map--Descrlgllon: <br /> I FILE ADDRESS EHD USE ONLY <br /> streets Street(tame qty UN[S <br /> 'So tR.A ALLzirtn <br /> 2. <br /> I �ti 1n Unit 3 � <br /> 4. <br /> a �- U&4 <br /> L4 <br /> $W*s <br /> Spedtie Date Range of WanTtaticn ILaquested:Free ,,_ot 1n - <br /> ! ENVIRONMENTAL HEALTH DEPARYMENT FI19S <br /> . � IlouslHaAisArEer£Nr SouoWastfFNaLm�l�aG�E <br /> UwtR" a TANK(US' CLEMUP Sita OMP) <br /> antes CLMup GM(N0k LOP) Food FAcarnr WASM TUB <br /> UNoEWO QUNb TAHK(NIOW[OMORJ:14OV L) boa I(Ema Djav • <br /> 1NAST£ <br /> GENERA7O{t CMCM"itAMCH, 11 VASMWA'rMTREA7MNY PLAM' <br /> IIALAIit�OUs <br /> TremaPERtali A GE fir l�loTUMOTM PUMVeR'fkV=YAWCWMTQ1LVs <br /> . <br /> TAtroomwy PORCRG pootlSt'A LAND Usr APt�tcanoH SMS <br /> Mto cw-WAssa FJ=Uff OnMR.(PLEASE SKCsFy) <br /> f WELLANDSha'I pE=ffWCOMSARE AVALaiEKRREVIEW- MOND0FMAYa:00 Am-4;o0p S • ©(CLUbMGHOLWAYL <br /> L List up to ton addresses In the space above. Select the type({ )of files tram the(ist above by chetdsing the appropriate <br /> box{es). At least one file type MUST be zekded. Fax o os 46"138 ar mail the address Indicated received afters <br /> ranges mill not be accepted-for additional awtstance with file address",ca <br /> flee EIID.App <br /> 3:00 prn will be proeossBd the next lousiness day. roxlmateiy ton 10 <br /> 2 The Eh1D will notify the app(lcaslt If y END tiles exist. An appointment for roVIOW wM be confirmed app ( ) <br /> days after receipt of application. The files will ba held for a mulmum 61 ilvs business.days for revie�r. Appginlments <br /> should Ise scheduled accordingly. <br /> 3. A file that 13 actively being worked on by EHD staff may not be ImmedlaWly avallable for review` A view appl[catlon may be <br /> su' btnitted when-the file is available. . <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expettse of the applicant. <br /> Future fila reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> T9/I0 39dd Hl'Ja3H `1ti1N3W08IAN3 86TOP906OZ E0*-01 1.002/1.0/Z0 <br /> I <br />