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05/20/2005 10:00 46401 EWIRONMENTAL. HEP PAGE 01 <br /> SAN JOAQUJN COUNW ttW LW Nv <br /> hW <br /> TNVIRONmENTAL HEALTH DEPARTMENT <br /> MAY 2 0 1005 304 Fast Weber Avenue,3rd Floor,Stockton,CA 95202-2108 v1*730 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www. gov.org/ohd <br /> ENVIRONMENT HEALIH 111 <br /> PERMIT/SERVICES PUBLIC RECORIIS RELEASE APPLICA'T'ION <br /> APPLICANT: rt Lra.r' RUSINESSIAGENCY: Ca l��.T%J n4flr4.v( <br /> Aoonea6: t1f ! /$reek e Ora Mtlef&V1 C S ;b 9 <br /> PHONE(1) }e 4) 4 3 1 -a 9 o P PHONF(2):�+�0 +17 5 S I 0 ?' FACSIMILE: <br /> TENTATIVE•APPOWLSENT PATE! 5I 7 - S� 1 Th": <br /> (Plwu.Row 1e bwblras days from cher Of awle2flon wbmltpl-•Fanwtiva onN-Mout ba am finrAM <br /> ❑ CHECK BOX TO EXPEDITE R2QU -tea. (CASH ONLY).REQUEST PROCESSED IN 3 BUSINE68 DAYS <br /> SIONATURV OF APPLICANT DATE '� 0 <br /> UNrr018TPoBUTIDN GUMt1 ❑ Unn3 4 MUMS 0 UnNa ❑ Otiwr(elretroNCIIIsWmsp) O� <br /> FILE ADDR MEHD USE ONLY <br /> 8weta street Name <br /> 1: 0 aM <br /> 2. <br /> 3. <br /> 4. rU .:.- <br /> 6. <br /> T. <br /> 8. <br /> 9. P — I I — 0 <br /> 10. - <br /> SpecnloDale Range of Information Requostad:From to <br /> / ENVIRONMENTAL HEALTH DEPARTMENT FILES 41111111111111111 <br /> RaUNP TMK(UST)CLEANUP 8"(LOM 0l"Wa A"Teow O Sam WAvm FAOWiY1V1R❑ta <br /> oo( 13 FOWPAOIUTY o wACTCTm�+ <br /> ��QTTM�Aet eIP,WVTAW pi=T= ❑Doo Ku#r ❑DAMY <br /> VeryN08ReROUN❑TA2 GEW0.pTDryMGP1:ROVAI) 0CWAMAN04 OWAeTawAT TMATKEW PLAW <br /> R HALumOt�a WAtYa DeNEIIATOR ❑MMUHm8 O PVVKRTRUDRtYAPPICW"TNLBTa <br /> ❑'nMW PiMMM D MAOLr[Y0 LAAO URE A"ucAmN SM <br /> ❑ <br /> ❑TATTO01800Y PwRowd, ❑D OU$fpAmn Vte BPEa"n <br /> O ECgca WASTG.FACRnY <br /> WEU.AM Serae Poawr pzwROa ARE AvALwul FCR PAVOW- ra =y.FwnAY 8:00 AM-8:60W - EXCWOKe MOLIDAYL <br /> s of files from the list above by chocking the <br /> 1. List up to On addressee In ft space above. Solent the type( ) 8 e addrose <br /> appropriate box(ea). At least one file type MUST bs aetoeted. F <br /> iodiCl tso abov Address ranges will not be accepted-for addmonal assistance with file addresses,contact <br /> the EHD.Applications receWed ager 3:0o pm will be processed the tment ibr review will be confirmed <br /> 2. The EHD will notify the applicant N any EHD fila exist An app0 <br /> approximately ten(io)days atter receipt of appneation. The file's wi11 M held for a maximum of fhra bueineasY <br /> days for review. Appointments should be scheduled accordingly. <br /> 3, A file that Is actively being,worked nn by EHD staff may not be Immediately available for review'. A now <br /> application may be submitt &v&on the file is available. by RHO at the <br /> 4. MILUXI <br /> appflia not licant Futuro lelreviews by the same applicant mayreqll uirea 58S.Go depo=p�rto WOW. <br /> OWpenae of the <br /> 8N❑AM4rt <br /> ,Hunt <br /> 0/10 'd KISSLV60Z 'ON XH 1VNOIIVNN3 HI S8311100 WV 10;60 M 502-H-AdW <br />