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ivdy, i). zon iz:wwi AIC,GROUP SERVICES INC. hJo. 2��� P, 1/2 <br /> 01/16/2097 86:28 2894683433 5JC EHD PAGE 82/02 <br /> t3ATE RECV1VFIl <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Tslephons:(209)463-3420 Fax:(209)4840138 Web:www.sjgov.argleh <br /> PUBLIC RECORDS RELEASE APPLICATION r _ <br /> APPt�CA t BUSIK€=AGOiCY: SS�SGfG�-�i'S l <br /> ADaREss: Lh Pct <br /> RHpNL(1)` PHONE M FACIUMILE. C �2 <br /> TENTATIVE*APPOINTMENT DATE; Tkw, <br /> "*w tan busincaa days from data of eppliCAdan subndElal-*Tepi—w only-must ba coria med) <br /> I3 CHECK BOX TO t:XPF.i}ITE REQUF.B -fls8.00 (CASH OR CKS K ORM-RFQUMT PRocE"F_D IN THREZ 6U84KE98 DAYS <br /> $IGRATURE OF APPI.ICAI~IT 4u4 GATE �, =L�D <br /> Electrenio InfOrf son: ❑List 0..Map-Description: <br /> FILE ADCM33 EMD U89 ONLY <br /> 811vvtit wast Kwan Cir v Unit1. 0 LtJ Large <br /> 0 Un82 <br /> 8. <br /> 4• nd a <br /> 6. <br /> $• v u�lt e <br /> 9. <br /> 10. tj unit a <br /> apeaffia Data RAnBo of WaffnAon Raqueated:From _._. / to r•�d d <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES . ... <br /> UM TANK(On OLkAWF,Srrt(L0q 0 HoUSM ARATEMMY fD aeue wesTE FAm rryAPiar'r,1+ <br /> oraRClFluluatrm(NoN-LOP) ClFaoDF=UTY INA&M TM <br /> OlrAfaTAlQt(Ill01tIT8RlNGIR�AOVAL) G bw KEN— Q twRy <br /> W,18Tet3er�eRpToli G Gncwen PA119n b Y1 AUrEMTHtTRFATMEPff PLNff <br /> ri�PE�wrrTm Facrurr M MoTofi4wel v PLw"XTK4 KNANn(0*eM TOLL <br /> 0UT19001 DyPIM01W PPGOLZPA 11 Lw>UsE AFPL=nm&TFs <br /> b illi ICAL WAsty FAMM 0 OTWK(PLeAaeSPIM ). „.. . . <br /> WrILL AM OSPM PgWq RVODRCs AItE AVAIL O M R rOR PZO MI•M01MI-FHDRT 8,ba AM-S.- if-Fx"wfm HOUDAY& <br /> I. List up to ten addresses in the space$bove; Select the type(s)of files from t4a Pat above by dmcmng the appropriate <br /> 113014"). At taairt am file.4w MUST be selaeted. Ftax 4ai )4M-0188 ar rttN!To ff , Addrim rangae will <br /> hot ba acaopted-foraddld=l assistance*M file addresses,contact the Dib. Applications rocolved after 3:Iw pin will <br /> be proceaeed fM rlepd:busirim day. <br /> L =h,@ EHD wNl notify the appiloant If any EHQ files exist. Art Irppointmant for ravlaw will bo Cohf mwo op rgxlmatoly'ton <br /> days after reeelpt of application. The files will be held fora maximum of rrvo business days for review. Appointments <br /> Should be 66hoduled 2606rdInglyl. <br /> 3. A file that Is aotivaly being w0rf(0d on by the CHD oti ff may not be knmediatety available for review. A newapplication <br /> pplicafion <br /> tnay bo sclbmftbd when the file It Arvrflable. <br /> 4. Any fib not returned in the dame Condition aS Wowed Will be re"ganlwd by EHO staff at the expense of the applirarrf. <br /> Future flit reviews by the same applicant may require a$S&W dgpatif prlor to rvMow. <br /> RHO U6E ON{.Y <br />