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i <br /> Z 2-22-05; 1 :SOPM; ;9164413139 # 2; <br /> DATE RECEIVED EI' EHD LOG NUMBER <br /> ( SAN JOAQM COUNTY <br /> 1J � C EW_E D . ENV MOWNTAL HEALTH DEPARTMENT <br /> 304.East Weber Avenue,3r°Floor, Stockton,CA 95202-2708 <br /> ;'W b 2.?-005 eleplione: (209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.org/chd <br /> .3 <br /> UNIr,ON ENT 1EALTNPUj3LIC RECORDS RELEASE APPLICATION <br /> APPLICANT: aAk J. singm BUSINESSIAGENCY:Dia yBrand LLP- <br /> ADDRESS. 555 gMitol Mall loth Floor Sacramento CA 9581 <br /> PHONE(1): 916-444-1000 'PHONE(2): FACs1ARILE: 916-444-2100 <br /> TENTATIVE"APPOINTMENT DATE: 31'8/05' Time:_10:00 <br /> (please allow 10 business days from date of appilcation submittal="Tentaffn only-must be confirm0d) <br /> C7 CHECK BOX TO EXPEDITE, ;93. ECK ONLY)-REOWST PROCESSED 114 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/22/05 <br /> UNIT DISTRi9UTION Q Unit 1" M Unit 2 f1J Unit 3 ❑Unit 4 E3 Unit 6 ❑ Unit e a other(eiectnoniclllstslmaps) <br /> FILE ADDRESS ?: END USE ONLY <br /> Stn3et# Street Name s City <br /> 78 way Stockton <br /> F32 <br /> (sea attacbed 1 PA-- <br /> :Froin —.i� 90 — toJ�t �preseTtt - <br /> MENTAL.HEALTIi DEPARTMENT FILES <br /> HOUSING ABATEMENT E3 SOLID WASTE FACILI4Y1WHICLE <br /> * Q FOOD FACILITY Q WASTE TIRE <br /> C]DOG KENNEL o DAIRY <br /> ,{/�J zl) C1 CH1cKEN'RANCN 0 WASTEWATER TREATMENT PLANT <br /> ]�] "` i� n MIOTEUHOTEL ., 13 PUMPER TRUCKIYARDICHEN To1LEW <br /> U PA �' O LAND U8E APPLICATION SITE8 - <br /> - a(,0'1. ULAILE <br /> 0 OTHER(PLEase SPECIFY).a000wztin irxwi <br /> POR REVIEW - WIONDAY-FRIDAY 8:00 AM-B:OOPM - Excwo Na HOLIDAYS. <br /> I r wove. Select the type(s)of files from the list above by cheating the <br /> 7e MUST be selected. Fax to 209 464-0138 or mail to the address <br /> of be accepted–for additional assistance with fie addresses,contact <br /> 0 pm will be processed the next business day: <br /> l/rHAD files exist An appointment for review will be confirmed l <br /> �� :of application. The files will be held for a maximum of five business <br /> Tu <br /> Ie scheduled accordingly. <br /> u END staff may not be Immediately available for review. A new <br /> Ile Is available. <br /> 3n as released will be reorganized by END staff at the expense of the <br /> to applicant may require a$93.00 deposit prior to review. <br /> 40 <br /> 4114105 _ - <br /> � �( � copy <br />