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04/05/2005 7.6:59 13107982841 PAGE 01 <br /> uji 0 ri'�adc 12:45 464F EM1IROWENTAL 41-TH PAGE 01 <br /> DATE RMCEIVED EI1O LOU NUPA�tkt <br /> SAN�OAQUIN COUNTY <br /> _ FNVIROnWNTA L HEALTH DEPARTMENT <br /> I IC'I v` L v�IES I�1 304 Past V�eber Avenue, 3rd Floor,Stocktran,CA 952022708 <br /> U Telephone,(7-09)468-3420 Fax:(209)464-0138 Web: www,sjgov.arglehd7 <br /> U PUBLIC RECORDS RELEASE APPLICATION <br /> ���° �! a 'stn susl[iF88rA(�Et+OY:� �'"] ' r� <br /> ��, 00 CITY <br /> P11GaNE{7 - (gl, FACS(MILd rA-111,14- L2—} <br /> TENTATIVE^APPOINTMENTDATF_ __ __. Time: <br /> (PIOuGe allow 10 businmm dayu front date of appHCaMon aubntiaal�*T*rWhm only-must be Corifirmed) <br /> CHf=SOX TO EXPE4l m - ®a.oC FEE(CASH OR CHECK ONLY)-RCOUMT MCESSEib IN 3 BUSI WS DAYS <br /> SIGNATURE OF APPLICANT DATE `. > <br /> EI®ctrstnBa O Llst G My- scripfton <br /> Mformatiart <br /> FILE=ADDRESS EHO USE QNLY <br /> Stec atnmt Namo city <br /> 1. o jo C] Onit 1 <br /> 2. 1, It <br /> Ci Unit 2 <br /> 'Unit 3 <br /> 8. Vv n <br /> 9 o — D Un€t a <br /> �t1, tl:nI nit 6 <br /> 443cific Date Range of laf irmallon Requestktl:From to _ <br /> ENVIRONMENTAL HEALTH 0SPARTitiP eNT FILE'S <br /> XuKeRcmoumo TANK(US n CLEANUP SrTK(LOP) O HOU91W A9ATEMENT >�IoLo WAm FA*LnYrni L F_ <br /> *007W�R CLEANUP SM(NON-LOP) ❑FOO2 FACILMY C1 WAZ E TIM <br /> Ag LhMeFMU4o TANK(M0NrVMNC vAL) ❑ooc"mm 17 DA1rT <br /> HA7r41�DOUS WASTfl C6fVERAToR GI C+aCKEN Rai9C!{ 'W&rmmtATER TF0_4TMcmT PLANT' <br /> T18RED PeRwrIM FA=rty n MIOTWHOT R4 In Pl mpm TaucK?YAR*1QPM A.L T01UM <br /> Q TATTnoMoaY P*nCWt6 0 POOLISPA Q Laub UM APnIcATMN Sn'Es <br /> 7J>AA MAL WAM FAaLm 0 CITNER(PLEAM SPECIFY) <br /> WM J„AND StPTr,FlefttT REGonm ARE AYAt;_ 3 E FOR Reyt1 w -MONDAY-FRIDAY 5:00 Am-3.00Fm - EXCL NG HOLIDAYS. <br /> I- t,.ls-t up to tan addresses.in the space above. $elect the typa(s)of flies from th;�list above by the.-king the <br /> appropriate box(es). At least one file type MIST be se4Gcted. Fax to__t208 98 or maj <br /> tot dare <br /> lndgated ab®ve, Addrtese ranges will not be accepted—for odditionol assistonce w"Me addr'euses,contact <br /> the l=HD. AppNcations received after 3:00 pm will be processed the next busine-*4 day. <br /> 2, The EHP will notify the applicant if any EHD flies exiiswt, An appointment for rei iew will be conffnrled <br /> approximately ten (10)days after receipt of application. The files will be held fora:maximum of five buniness <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file thft is actively being worked on by ERD staff may not he immediately availhble for raview. .A new <br /> opplication mey be submitted when the file is available. <br /> 4. Any file not returned in the same,condition as released will be reorganized by EHO stat#at the expense of the <br /> applicant. Future file reeviewl}by the same applicant may require a$93,110 deposit prior to review. <br /> PHI)"-ft <br /> 1alS1IZtlG6 <br />