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03/20/2006 07:01 916861045" SECOR PAGE 01/01 <br /> 0J/1(t2506 15:52 4G4e138%10, ENVIRONMENTAL HEAtr w. PAGE 01 <br /> RTfl ' SAN JOAQUW COUNW'X 002 <br /> ENVIRONMtN'xAL HEALTH DEPARTMENT <br /> :2 6 <br /> Doj (no� 304 Pmt Weber Avenue,3"Floor,Stockton,CA,95202-2708 <br /> �phove.(209)46$-3420 Fam (209)464-0)38 Wcb:WWW.sjg6K[ A 20 AM 7: 48 <br /> PU13LIC RECORDS RELEASE A VPLTCAmx4N J u•, :_ COW-IT <br /> APPLICANT: Kr��c.' r�Wh $�SIFlE3SlgL3FNCY: Fl �tbW©WW4r,, 580 -+j <br /> ADORESS:I") iC lire ILA. hoc- eoc? _ _CITY�a ou STATE (f-tt <br /> ?HONE(t):IT'&-8t-oYod PHONE(2): FACSIMILE: yr6-B�f�pylto <br /> TENTATI'M APPOINTMENT DATE: � 3�d Mine: <br /> (Please 9110W 10 bUSiness days from date of application submllfal-"rtintaawe OMY-MW be confirmed) <br /> t7 CKECK BOX TO EVEDITE REQUEST-!93.00 FEE(CASH OR CHECK omLY)-Rt QUOT PRoC MED IN 3 BUSINESS DAYS <br /> SIGNATURE OP APPLICANT DATE .3/1-7 <br /> EloctranicQ WCl Map_nescrlpfien <br /> information natia <br /> FILE ADORES$ EH0 USE OMY <br /> street 0 Street Haws CHY <br /> 1. jy3 - 'feSe { AiceaA. <br /> 2. <br /> 3. <br /> 4. UCiit S ./ <br /> 7. <br /> 8. <br /> 10. <br /> $peold90 Date Range of Infonnaticn RegUeStedl From <br /> to <br /> EWRoNMENTAL HEALTH DEPARTIVIM 'FILES <br /> X UNocaaROLINP TAKK(USTI CLMUP SITE(LOP) 0 HoUsIma AUTEMENT u$oL109UA9n FA01[.InNEN101.E <br /> O ovrm CLEANUP&TF(1401144-0P) ❑Foca FACRtrY 0 WOOM TIRE <br /> t7NbExoRoumOTAM(ffiQ" *AffiG11RW0vAL) 0 DOCKORL1. 0 VAIRY <br /> HAzAR00U6WASTE CBEIiBRATAR 0 CHICKEN RAMM CI WA5'imATem TAm%TKEMT PLwt <br /> 0'rmAF.n Pr.RFKmEO FAMITY 0 MOT£LIHOM t3 PuwLR Tr=r YAng0CH%YMeAL T(XL"S <br /> In T'ATP0oIBODY MR01144 G POOVSPA .0 LLD USE APPL100*14 s"" <br /> 0 MSNICAL WASTE FAOIUW Q O7NEtt(PLEASE SPECIFY) •�--- <br /> WELL ANO SWIM PCAN1T FECORDS ARE AYAI AOM F#R Ft9VMV..MONDAY-FRMAY 11.10 A MZ OOFIA - EXCLUorM11 td01.1DAY9. <br /> J. List up to ten addresses in the space above. Select the type(s)of files from the fist above by checking the <br /> opproptiate box(es). At l£a,t one file type MUST be selected. F$x to(209).8 138 or fmali to MLe address <br /> indicated-above. Addross mriges will not be accepted--for additional assistance wan file addresses,contact <br /> the EHD.Applications received after 3:oo pm will be procesoed the next busine"day. <br /> 2. The Elio will notifY the applicant 9F any EHD files exist. Ali Appointment for r0-VJ w will be confirmed <br /> approximately ten(10)days after receipt of applicatloa. The files will be held for d maximum of five business <br /> days for review, Appointments should be scheduled aoeardingiY. <br /> 3. A filo that is actively being worked an by ENR staff may not be Immediately available for revMew. A fiewt <br /> application may be submitted when the file 15 available. <br /> 4. Any fila not returned in the same condition as released will be rear9anizOd by EHD staff at the expense of the <br /> applicant. future file reviews by the samo applicant may require a$93,00 deposit prier V0 review- <br /> R <br /> s_No�e•aa . <br /> �nntr�aac <br />