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vjicrIwva LVA2 Lv1Yd r1AA IQ491l941 <br /> Abol <br /> DATE RECEIVED EM LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgo3rw <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT: ICAhe, L G r—h Q If`+— BUSINESSIAGENCY: <br /> ADDRESS: ! C , , V # /C� ,vx. g a <br /> PHONE(1)• Ir <br /> PHONE• . FACSIIkfLE: <br /> TENTATNE*APPplN7MENT DATE:„ l T 7b”: 14 o <br /> {Please allow tan business dayo frog aate of aPpEcaflon sulmnittal•`Tentadra only•must be caOFd) <br /> t3 CHECK BOX TO EXPEDITE REQUEST•$9&pe rr&CA$"pR C E y�•REQUEST PROMSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EisCppplC Itrtormtltian: List[)Map-Description: q ai i L/L S /ACA <br /> FILE ADDRESS EHD USE ONLY <br /> Stn et! streot Name city 13 unit t <br /> 2. '� _ ! roc �:?� � �'`��� Unit <br /> • rGcC ri S <br /> 4. �S� TOS !- Qo c. <br /> a. �- aC• Tr' i 4 3S� 'Q A�u� e a <br /> W• L}rctM L;rrA eamd T-rat a <br /> �, +2 T`rct c CP ,Q d SG 7 . . <br /> T. <br /> Al—00-- r Int Trac 1 7Pd3 <br /> g' r_a. !r' cad r 'i 53� 3S ods ounir6 <br /> g' r� ��p__ GU YCcl1 2a 7`rac 4 ,5r <br /> ia. <br /> Sped6o Date Range Of Information Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 71dU1dX LGRDUMD TAw(UST)ra EAw Sas"p) 4 HOUSING AsAT&ww VSMM WASTE FAcwmlVQ*0LE <br /> 7T onM CLMNW SM(NDM•LoP) fl FOOD FAi:KM WWAM TIM <br /> UMMMOU10 TAM(MOWDR O REMGYAL) 13 Deli KENNM Q DAIRY <br /> NAz/MMM WASTE GME RATOR ❑CIECKM RANCH 0 WAMWATM-MFA7M T PLAMr <br /> Q TtRM PBMWED FACM Q NOT04HML E3 O P1MPER TR{C1UYRDCFM T <br /> tMLETs <br /> Q VwcAL WAStFACTIQ PCOLISPA Q LAID USE AMXATON&M <br /> Q AfNerr(PLEASE SPZM <br /> WALL AND SWM PMw Rwom ARE AYNLAeLE MPR Rm w-MOMDAY4�wAY&M Aa-&00 M.EX{Y.lmw HGUDAYs. � <br /> t, last up to tan addresses in the space above. Select lite types)of files tram the list above by checking the appropriate <br /> box("). At least one file type MUST be selected, E 12 ft dxm addM Address rsnW will <br /> ttot be Accepted-for additional amdshmwe with fqR addresses,000W the EHD- Applications received after 5:00 pm wig <br /> W processed the next business day. <br /> 2 The L'HD will notity the app#cant If any EHD 11140 exist. An appointment for review will be confirmed approximately len <br /> ft's attr nraelpt of eppllaaaon. The files will be held for s maximum Of five business drive for review. Appointments <br /> should be scheduled acemlin y. <br /> 3. A file that is acd*y being woftd on by the EHD SW may riot be immediately available for review. A new appacatlon <br /> may be submitted when the file in avanobls. <br /> 4. Any file not r*OAU d In the same condition as released will be MMmnb*d by EHD staff ague expense of the applieant. <br /> Future file reviews by the Sams appilcant may rOquire a$98.00 deposlt prior to review. <br /> END USE ONLY <br /> sib 701207- <br /> rWUC RaCOR"rZLa,AOE F0 <br />