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03/04/2004 12:48 6369399757 HERST & ASSOCIATES RAGE 01/e <br /> 11/12/2003 11:25 468 ENVIRONMENTAL i STH � 1 <br /> Cr li �L� L <br /> T)AT£RECEIVEDSart JOAQUIN COUNW <br /> ENVRQNNjENTAL HEALTn DEPA.IRTmn MAR 0 4 2004 <br /> 304 E Weber Ave 314rFl,00r 8taeldon,CA 95205 p� <br /> (249)448-3420 Fax:(209)464.0138 Web:www.Co.San joaquia COO MIT/ONM141 h� AL[ti <br /> �iMl7/5ERACES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. aU9iNE ENCY: OST�- -'f�`' - <br /> AUOtiE.S9. <br /> FACSIMILE: <br /> HON£° �c -,.;��r,ic,rO� cz-flnsG Q`cr•rin� ( ��c <br /> l TENTATM*APP0INTMF.N'T GATE: 7f '�nh az a? i�na: <br /> r (please Allow f a puginas9 days trw date of AMOC4011®ubm� COPY <br /> C] CHECK 13OX TO EXPMrM ftE U1WST, 3,OU FEE E gT F SED a nUSTl+I S <br /> 4 IGNATURE OF APPLICANT DAA <br /> 0@02 t I01 USOO* <br /> uNrr <br /> p Unit I <br /> z. swear <br /> run7a2 <br /> a �U� <br /> ,R <br /> 4 <br /> g• Slat Unit <br /> 7. raft <br /> aj <br /> ❑ Unit 5 �„- <br /> e. <br /> �o. Slree! <br /> F.WRONMENTAL HEALTH,DEpARTmF-NT FILES <br /> 0 HOUSING ABATEMENT a SOLD WASTE VEHICLE <br /> UNIyERQROUNii TANK(UST)CI.$ANUP STM CL-op) G F'OOQ FACIUSY <br /> 413 <br /> OTHER CLEANUP 9IT6(N()WLOP) C1 FOG KENNEL 0 FAIRY <br /> UNQERCROUNd TANK[MgIVITaWH(tM)t MOYAL.) ❑ CHICKEN RANCH M FKe TREATM04T PLANT <br /> .pZARDOUS WAS'T'E GENERATOR 3 CHIO JN RAN 0 PUMPER TRUCWYAitDMH MA roL '1 <br /> [] Po0U9PA ;KL.AND 114E APPLICATION stmmTATIOGIBODY PIERCING G a N9%(PLEASE SPt;GIFY} <br /> ❑ NikaI &WASTEFACILrTY checking <br /> ? <br /> I, List up t4 ton te box ass iAt�eastpone fil06 e type MUST b®ve- Select the selected. Iia two D9 the <br /> list <br /> 46 -Oabv�{e�1fi a e9 <br /> the appraprl box(es). <br /> address indicated a° cant if any AHD idea 0isit An aPp0*1ptmant for review will be confirmed <br /> too <br /> Z F-tID will notLfy Pp* Itca►tlon. The In <br /> i approximately five business days but no later than ten 10)da ��r FOG i should1c sGhaduled <br /> will be hold for a maoctmum of frve businessdays!'ar review. ►1PF <br /> accordingly. available for review. A new <br /> A file that is actively being worked on by ego staff may not 1I lertmedlatery <br /> application may be submitted when the file is game applicant may reqavallabla. ed by EHO staff At the expense <br /> d, Any file not rotumod in the same condition as relaasad will be raorgsre a$93.00 deposit prior to review <br /> of the applicant. Future file reviews by the <br /> *TENTATIVE appointment dates must be confirmed with EHP staff. <br /> I 6. APPpLations received after 3:00 pm <br /> will be processed the next business day.• . <br />} <br /> CONFIRM AppdINTMENT DATMG TIME _._.post 'Fax Note 7671 <br /> DATE CONFIRMED PHONE�. FAX, TO f?.S <br /> REVIEW DATE o-As�vc <br /> p,EVIMEYVED .< ,rrts NOPtKwm <br />� BF9R •q�.pGn cu <br /> arerioaale,7 <br /> � tj <br /> � �,d � <br />