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07/12/2006 10:55 209-579-If 5 MODESTO ATC PAGE 02 <br /> SAN JOAQUIN-.-COUNTY <br /> 'ECETWED ENVIRONMENTAL MAMI DE-PARTNUM <br /> 304 Fast Weber Avenue,3v Fla:,SWJdo ,CA 95202-•2708 <br /> 20 6 Tele <br /> JUL 12 Telephone.(209)468-342+1 FatacY(209)4.54-0138 Web; .sjgov.or?/c <br /> ENVIRONMENT HEALTH PUBLIC RFCORDS RF.LEASE AP CA.'; O <br /> RIME(1): � _ . NE(2): FACSINLE.' <br /> TENTATiM APPOWMENT DATE. Tmrm Flam, <br /> Alwo 10 bushwss dap from of a stm Aftn -•1" *ray-=at be c-ora# m&, <br /> 13 CHECK BmTqexpewe REWT-ss.` oo FEE(cm"aemcK T)-ftzamsr PRocessEam 2 musixeSs DAYS <br /> SPIG ATURE OF APPLICANT Z DATE <br /> iliT D=FS3I MmN 0€nft t OL4*x Q UnR s OWN4 OWNS 0 UnItS 0 CtMr( <br /> �" - <br /> FILE ADDRESS all)USEC)NL <br /> - ........... <br /> _ <br /> _.: .......... _...__ .. __.. ' __._..._........._. <br /> _..._........._ __—_ _-- ___ _...._. ......... .................. _. <br /> _.... 71 <br /> 6. <br /> 61 <br /> S..... <br /> t#, <br /> RnuesW:From <br /> m <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> o <br /> TAW(USI)CLEAMP Sn(LOP) 0 HovsM AzATOMff SOLM WAM F MrAW-.E <br /> ,a r SrM(tom-LOP) 0 Foes F,CWa 9 Wme TME <br /> *OMMMTAW( -W0 GMEV0Va«) C3 Doo KelvaL £$AWA <br /> a TATTOOnkm RMIGM 0 POOLMPA, 0 I mmaa Use APP%XATM s <br /> WSLL AND SepM paWff REC=oa ARz AvAnAeLl root RavaW• MhY4'RED Y SM Al":MM - EWLAMM HOMO$. <br /> 1. List up to tarn addressees its the space above. Se's the s)sof files from the listtbeva by checkhV <br /> appropriate box(es). At least one tins type MUST be selected, En€o Q0-9J 4"413S or null to the adjEW <br /> Address ranges will not be accepted--for additional assistance with fft adtimsew,contact <br /> the END.Applications removed affor 3.00 pm will be processed the nrA business stay. <br /> . The EH;O will notify the applicant if any EHO fifes exist An appointment for review will be confirmed <br /> appmxl mately tan(10)days after recelpt of applicatiom The be held for a MaXIMUM of five busIntse <br /> days for rein. Appolftnents.should be scheduled airs <br /> 3. A isles that Is actively Virg worked on by END staff may not be kn medfatefy available for review. A new <br /> aWlication may be submifted when the fife.Is avalfable <br /> 4. Any fife not returned in the same condition as released will be reorganired by END staff at the expense of the <br /> applicant. Ferre fife reviews by the same applicant may require a$93.00 deposit PrW to review. <br /> 3 <br /> 9a4R3&3 <br />