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From:NARCUS H. BOLE AND AS"CIATES 530+633+0119 04'-'/2007 16:40 #404 P.001 <br /> -. 10/18/2005: 10.5-7 464013 ENVIRONMENTAL HEALTH PAGE 01 <br /> = <br /> SAN JOAOMCOUNTY <br /> I+;NNVIzt0Nhq fAL HEALTH DEPARTMENT <br /> ' ' i 2GUl 304Bag Weber Aviiiue, t° � O <br /> 3 Floor,5tocktoq C,9.95202-2708 <br /> xdephoac;(209)468-3420 Flax:(209)464-0138 Web:wwwsjgov.org%h <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> APPl1CANT: //li//`�enP , / BUSINESS/AGENCY; <br /> ADDRFSS:,jf��rQrn�,� Di- /)�o Yli/1l'! l'�- 4tYF-2 <br /> PHONrjil� -6 r�?-O//7PHON5M:&6ZZ5/7-ZTd/ FAC3111111E:{'7'D <br /> TENTATIVE,APPOINMENT DATE %// <br /> �,( (Pkaae aaow 70 badness days from d of appUWUon subm&hl•-rmiasve only-mus!ha mwd) <br /> 12•` "ECK BOX TO IXPE nzQUE„T-WA FEE(CASH OR CHECK ONLY)-REWEST PROCESSED 14 3 BUSINESS DAYS <br /> SIGNATUREOFAPPLICANT DATEy ii p <br /> 1 UMTMSTPMunoN ) CU-a1 DUidtt eUT1113 ❑UNt4 'OUnH6 C Una6 C Odw(elecimiioAists ps) <br /> FILE ADDRESS EHD USE ONLY <br /> Srnaata . street Name <br /> 1. OICS <br /> 2A,0 Al o k- ¢ i <br /> S. <vrx <br /> 4. z z <br /> 6. <br /> 6. <br /> T. <br /> 8. <br /> 9. <br /> 10. <br /> 'Spec Date T¢o of Information Requested:From .t9 -.`'' oda' <br /> ENVIRONMENTAL HEALTH DEPARTMENT HLES <br /> dP�IersouHDTAHK NsT)GFurtro srfe P-oP) ❑Hwm Aa MWT O SouowasTE FACUTY[Vaecis <br /> �ttox tar wuP Sr E(NoH10P) C m F000 FAea0 WAM TW <br /> tr,mEnerwtAm TAAat(MOrarORQ10I OVAy Cl Doc Krian3 P DAMT <br /> C PAZAPMOUS WASTE(304SPAToa CR044M C WAshwAM TMAtMOCT PUNT <br /> P 71EAFD PCPJM O rNZny a M6TMAWM 0 PurrPENTIAKWYum1010:14 Toe.Els <br /> TArmTTBLYBWrc coylmcim13PP0MjspA O IAw Use APPUUATM SM <br /> .AL <br /> (PLEASE SPECC,:"YI _ <br /> WrLIAHD8XM POUT MCQMn Ane AVAAAALF FOR P"IEW- MONDAT•FFMAY Y.•00 Aad:00Pa • EX=wta Ha.VAT8.., <br /> 1. List up to ten addresses In the space above. Select the bype(s)of files from the list above by checking the <br /> appropriate box(os). At least one rile type MUST be selected. Fag to(2091464-0138 or mail to the address <br /> Indicated above. Address pages WM not be accepted-for additional assistance with file addresses,contact <br /> the END.Applications received after 3.100 pm will be processed the next business day; <br /> 2- The EHD will notify the applicant H any EHD Files exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The Tiles will be held for a maximum of five huslness <br /> daps for review. Appointments should be scheduled accordingly. <br /> 3. A Tile that Is actively being worked on by EHD staff may not be Immediately avallable for review. A new <br /> application may be submitted when the file fs available. <br /> 4. Any file not returned In the same condition as retested will be reorganized by EHD staff at the expense of the <br /> applicant Future file reviews by the same applicant may require a;93.00 deposit.prior to review. . <br /> ��Nu• <br /> C-11 <br /> EM uazaos <br /> anw� <br />