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05/20/2005 10:00 46401 EWIRONNENTAL HEI PAGE 01 <br /> SAN JOAQVIN COTINW WW LVU NVMHpn <br /> ENVIRONMENTAL IiEA m MPARTrAENT <br /> MAY 2 © 7005 304 East Weber Avmue,3r1 Floor,Stockton,CA 95202-2108 <br /> Telephone:(209)468-3420)MAx (209)464-0138 Web:www4gov.org/ehd I <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICA'C'!`ON <br /> APPLICANT: I't 'Lear must NMsarAGENOY: Cel J cre <br /> ADDRLaso z�f ! 6r*ok : e Op J•orkt4tivl C S� 9 <br /> ` 1a +I 7 5 1 o f ACSIMIL <br /> 5ae + Z S' 51 d y <br /> PHONE(1) g1 1 I.3 q '.'�•1 d 1' PHONt:I�I:l <br /> -._� <br /> TENTATNE'APPDXnAFNT DATE: 513-1 - 5,1301 Time <br /> (Pl.ne saw to bushHns days ham dab.orappllo 11"wbmltml-'rattadve only-mttat bo conamtoM <br /> ❑ CHM BOX TO EXPEDITE REQU T-Sal. (CASH ONLY)•REQUEST PROCESSED IN 3 6USINESS DAYS <br /> SIGNATURE OF APPLICANT VATF 'U '0 <br /> nll! 4Unh5 O untie ❑ Oawr(elee <br /> UNIT Di Di Z—Unm 0 U���u MU <br /> FILE ADDR cl EHD USE ONLY <br /> 8beeta Street Nems <br /> 1. 0 aM J <br /> 2. <br /> A. <br /> 4. <br /> 6. <br /> 7. <br /> 10. <br /> Speclne Date Range of Information Reciucafed:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> BrJ��mnnaRouND TANK(UST)CLLmuP any(LOP) 0 Hotmoa A"Twwff 0 Smm WAG. FA0LITYrnWq# <br /> 1r rtlu oteaN�r sna(No"OP) p Fow PACIU Y In wAM TM11 <br /> 0 Doc Kalem. 0 DAMY <br /> tRltW{DUIm TAW tetGNTDitINGFifiROVAI) 0CW.4=RANCH O WABUWATan TAPAWENT P"M <br /> SMAaY,OEWMAYOA ❑MonUHDRL 0 pn�A yRU0WApgCwrM Torun <br /> ❑TIEW PNxmMTOA PAOLRY ❑Poo Lrrl d LAND USE APrO0n7pN SITES <br /> 0 MDWA WM G FACLrTY ❑OTHM(PLEME 8rEca*Y) <br /> O a6plCAtwA E AM SE <br /> WELL AW$EPnC Pwwr RaW ROe ARG AvAa.rEl6 FOR R[Ylen'• Na+uur-FRRMY 8:00 AMd:DPM - l3fcWIANO MOLIOAYc. ALI <br /> 1. List up to ten addresses in the space above. Soloct the type(s)of files from the list above by checking the <br /> a MUST b■selected. F 8 a address <br /> appropliate box(es). At haat Dna Ills typ for additional assistance with Ale addresses,contact <br /> indcated iabov Address ranges wlN not be aceapted— sta <br /> U;*EHO.Applications received after 3:00 pm will be processed the <br /> ma business day- <br /> fbr review will be conflrrned <br /> 2. The EHD will bouty the applicant N any EMD flies axiat An appointment <br /> approximately tan(10)days after MAW Of application. The filed will be held for a maximum of flea bus(noaay <br /> days for review. Appotntmonts should be schsdulad a000rdingly. <br /> 3, A Tile that Is actively being worked on by EHD staff may not be Immadiately available for review. A new <br /> appliestion may be submitt6&Wh9n the pie is available. <br /> 4. aAny folpplicant, Future f treviews by the same applicant man the same condition as misasady requlrell beoa$93.b(i dap9-anLwd by EHD it orr W review,staff at the penae of the <br /> ..Lr�r•�r r'yf� .. <br /> EMO A-07� <br /> 1nLVC <br /> 0/10 'd ZOISRV602 ON "ZI WN01MUNI SH311100 0 10)60 I11A 9002-OZ-aw <br />