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- PAGE 01 <br /> 11/28/2006 ' 16:59 1316798` <br /> PAGE 01101 <br /> VdV5 <br /> 2094646138 ENVIRONMENTAL HEALTH rMuWWI'sriumtWK <br /> �1SAN JUAN 'UIN COUNTY <br /> Nov 2 8 2aas ONMENTAI MA.L-M DEWaTKOT <br /> l Ei�7 HE 3U4 East Weber A.-venue,3'1 Moor,Stocidon,C'A 95262-z708 <br /> ENVIRONMENT Telephone'.(209)X46$,3420 Fax:(zM 464-0133 Web:'WWW-Sigov.orglcw <br /> i �'F 5 ?t? <br /> QERM+T1a`RVICES <br /> PUBLIC RM)RDS RELFASE APPLICATION <br /> k3 MKE=AGF CY:���*�1 •� <br /> !yap >?HON�[�I rACMILE: <br /> MOWS(7): r f Time: <br /> TEWATWP APPojWMlrtz'['DAM l O t <br /> (Pleats atiiaM+iD tsusiness days from bate of application bulk.•r�tfptFwq orilY-nlUst de coMfsmedy <br /> D CHECK Bmf TO EJCDiTE RERUES ~i9S.t10 FE (CASH CHEq�ONt,1�y•Rt:RliF,ST PRt7CE55FA 1N 9 Btl51H hAYB <br /> DATE p <br /> MGNATURV Of APPLICANT <br /> lec4ranic 1ltfarrnat'wn: ❑List[]M9kp—Det crlpdvn: ' <br /> F1LLe ADDRESS T",", Emo use ONLY <br /> �. Sheet a <br /> 3trwak ❑ tint i <br /> if1� t>nit s <br /> i 3�3. 1. 5 . C oke tea <br /> 4. too <br /> 7, ] unit <br /> { Spaolfic We Range of Infot'!na#iorr Requested:From <br /> EmVIRO IIKENTAL HEARTH DEPARTMENT FILM <br /> F QfergR�RalfblD TANK MS7)c r1ww 5rn iLG p) 13 Nousato Amman 4 �Sa+�WAS ra AACIWY1fNElorCtE —� <br /> %* ntr¢R CL erre WW-LM M 0 ReManlrr ► a YlFxsME TM <br /> FLlIID6MMM TANK tMCNrt =CJRM0VAQ , 13 D88 KLMNM 0 DMV <br /> HAZAAMus WAM CENMAWR 0 MOMM ROLM a WA3NWA=TMTWMT ft MT' <br /> VkTW=PQM FACKM 0 Mom MomL a - n rumptA TM vjTAwMMM TOUTS <br /> U TAT WMMYPMRMG C Ptlgi,i^ava 13 L w UsE Ar�nTm S1!E9 <br /> 0 M=wL WAsTc VAcL fr 0 OmER FLMA SpAglFr� 1' = -- <br /> �.wwwiw ' <br /> ', vrEl,k SaP Pr3do;. acaafis A,vAnr�ta Foa flsvosw M0MAY*MAY G.0 Ari.A,{>"'- P]ra.uosta MatlexYs. <br /> 1. List up to ton addresses In the Spans above. ;:eloct the type()of files tum:thv list' Iswa by c}recidno"apprvpr4ata <br /> box(as), At faad:t one filo typm MIDST bo selected. 464-0 36 or.mlgl Indl Aticim; <br /> ranges will not bo neaptod-for uld(�mal asalstmoo wRh filo addreem.tontad^Vw D.Applications Mcehred a�ftsr <br /> 3:00 PMwfil be pmcos d the next business day. i <br /> l+ 2. he END wRl notify the a�ppik wd 0 any ERD 1"am. An appoint forih <br /> The 111 be cmfirmod opproOrnigalY%1't(10) <br /> days aftor nmmlpt of aWI;*ion. The files will be held for a mwdmum of five busia@as days for rrview. Appointments <br /> should ba fieboduled accardlhgiy. <br /> 3: A fie thsR is$ply being worked ort by EHD staff may not be lrnmediatalyl%vanable for raulow. A now application be <br /> submitted when the fila Is available. <br /> �. 4. Any filo not retumod In the spree condition as releasad Will be reorgankvd by Elio s' a at the expense of the appliaa it <br /> i Future file roviews by the some applicant mayrequire q$96.00 deposit prior fo W*:'W.. <br /> EHM USE ONLY <br /> i <br /> i <br /> + cho ae�9n <br />