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07112/2006 10:55 209-5796`5 MODESTO ATC PAGE 02 <br /> AIV i € 0 LOG WiAefiq <br /> RECEffit SAN JOAQUIN'COUN-M <br /> 304 Fast Weber Avenue,3"Floor,Stooldo ,CA 952-02-2708 <br /> JUL 1 2 2006 Telephone:(209)46$-•3420 Fax,:(205)464-013&'Web; w%rw.sjgov.orFVeM— <br /> ENVIRONMENT HEALTH PU"B IC RECORDS RIELEASP,APPUCATION <br /> AM MISS: <br /> e ail: PaE 121: rarest. • T <br /> TEUTATIVV App=TmENTDATe. 17•Z ' Tim: .FAAYN. _. . <br /> (tee eaf*W MUM *ofn dde of ft&ft -*TOMS" p-numt bo r <br /> 173 C"ECK60XT0,0QseWE $93.00 FEE(CASH OR CHECK OMY)-MQUEST PROCESSED 44 3 MMME S DAfrS <br /> SII TUBE OF APPLICANT DATE - <br /> i1 CiT S! 'FMWVN t'3 Unit 4 0UnK 2 0 Unit 3 0 Unft 4 0 Unft S o L%*6 0 Oftir{Wkcte <br /> Saaa » FILE ADDRESS EHD USE 1t» <br /> 3 . <br /> N6 .. pq pp�y��y� <br /> QB 8rt .F'r*m <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 4?4ta7 TAW Qk . :a^M0V*.) <br /> kTl+: lam WASTE Ci&MAXADR 0 Cmmm RA wx ftsmwA m TReAT #T P RW <br /> 0 Tam Pgwarmu rAca trr 0 aaaarM€a`aOM PUWVt TR%WWVAfW1CMW T04EM <br /> 0 TAr'r 0 POOUSrA We Use AprLwAum Sffw <br /> WELL AMD SEPM PrwfC RawRos Am AvAa Asu Fdt Mrvm- Uox0An Y$* A":09M - etmwtaa HoLzwyffi. <br /> 1. List up to teas addresses In the space above. Sem the s)of foes from the lust above by d ill the <br /> appropriate box(es). At least one file type MUST be sehKted. EM to j202 _1311or null to the addreas <br /> Address ranges will not be accepted--few additional assistance with t s e contact <br /> the END.Applications recd after 3:00 Pm will be processed the next business day. <br /> . The EMIL will notify the applicant if any EHO files exist. An appointment for revue will be confirmed <br /> appfoxh ately teat(10)days after receipt of applicaftm The files will be held for a maximum of f vo busia v s <br /> days for revlew. Appointments should be scheduled accordialft. <br /> 3. A fl3e that is actively being worked on by END staff nuy not be linmCadls.etely available feaa msrlew. A now <br /> appiloatfion may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by Eli€?staff at the nsa of the <br /> applicant. Future file revlows by the same applicant may req ulre ae$93.00 deposit prior to review. <br /> usa <br />