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1 Zp44 = Sio LOG NUMSER <br /> kTF-RE(*b SAN JO AQUIN CO <br /> ENVMONMENT, L HEALTH DEPA RTlllZNT <br /> 304 E Wcber Ave 34 door Stockton,Cts 95285 <br /> (209)46834.20 Fax:(249)464.0138 Web-,wwrWxo.san j0vW*a.ca,tuleY�d <br /> P LIC RECORDS RELEASE APPLICA110N <br /> 3fAtiEtiCY: t <br /> &.5 K30 <br /> TENTATIM APPOINTM4Oa DAM <br /> (Mnr4 d1ow 10 bwkWe G4YV*Wn Matt Of APPRCAan <br /> CHEcX BOX To EMOM MQUEST•$93.00 —ICE 1 Mom=Rt 3 Boutesilays <br /> SIGUATURE OF APPLICANT �.,. A:DAT �- (S— <br /> DOPWVAWA Us*Oniy <br /> t rl rr <br /> [� <br /> UMI <br /> N�' q 5 Unit 2 <br /> AlfM <br /> Unit 3 <br /> a � Wit 4 <br /> An Mad (� unit 5 <br /> 4 EIMMAIMENTAL H TH DEPARTMENT FILES <br /> UNDOMM"TANK MT)CLKMVP MU P I (LOP) D mousFOOO FAGsLnY IMT Q i WA91f F <br /> A SOM WA51W VERIOM <br /> MaPEMMM W"Tv TM Ai.) r] 004 Q !KG <br /> F a it <br /> IAMOWAL AWA0 ! p A USE APMrA7M Ma <br /> 1. Ust up tobm s spaos vs. let ij Qf Mae frM ft Est :tW Unckin <br /> e appy x(**). t one a WPe MUST be 60 SMWMi <br /> ,� t+cafed s s <br /> tify app"c"t if sny Mr)GWeXWL ®nt review be aoeeti d <br /> a y five business d but M lager then tan(10)dqs ofter mWpl of tign. TM tilt$ <br /> will be Fs foraMaximum of five•business d for rmvlow. Appolnbmiens a erigd <br /> F <br /> 3• fila Is A aiy being Worked on by EHD staff m# not be�t ' <br /> ,Op on 1tYsI ttiDr rR1Yi#w. Anew <br /> y be tt when the is ikieilabis, t <br /> 4. AnY file nat Mturntd In th0 0=6 condition as reiea00d wilt be rewMized by EHD staff at tit® so <br /> Ot the i L Future file revi0 by-tho ame APPIkAftt MY M01008$93 dsp*Wt prior to review, <br /> ffi• <br /> *TENTAYM appointrrt t tae must be confirmed with EHD•tuft. <br /> • . ns rect tefter 3:00 PM will be PF006azed the next business day, <br /> R. 1DA17E. <br /> :.TIME <br /> 14 <br /> ED yES no RE•VIEw uATE. <br /> siarsan- - <br /> 10 39Vd IC1N3WN02lIAN3 SV83 6669988015 bZ:Lt b00Z/91/ZT <br />