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FROM NOR Environmental <br />PHONE NO. : 209 369 4228 Feb. 06 2002 10:33AM P1 <br />SqN SOA�rdlN COUNTYPUSL(C HEALTH SERVICES <br />7 ;..'..'rIEAI_lli ENVIRONMEHTALHFJtLTHOIVISION <br />304EASTWEBERAVENUETHIRD FLOOR <br />STDCWrON CA 96202 <br />02 FEB -6 AI110 pUBUC RECORDS RES EASK APPI tc,11'flON <br />A"U"NT dr -%L- DjAAar* stMKM%w== NGIL O. AivAEte.bDN a ptJSOG• <br />AMM25 Vb til. i -i0 U5 1 D fJ _.. _. LA•N - L tyi Li_ Q -� <br />pNONa ?.OG - aV 4 - 3-10 ► N1G'7, lite$ zog - . a - 42.28 <br />TENTATIVE'APPOINTttasrMATs ? 2J oz Twt • <br />llq"� (.l�(// T$ •a �samaaum.ayu�uw,.uoIM - <br />eNedcanrcToc�eolrsaeotxss- P!P_aeeeeree otaeusaessowvs <br />S{GtiATURe OF AppL !CANT DATE Z <br />ENVIRONMENTAL HEALTH DNISION FIM <br />'% UXQMma0UK0TAMKtoed C%JANUPUMtt.CP) <br />C 4OUSMA13ATF.1OW <br />C So=v"=PACMM <br />an= &I cARUp arm(NON:API <br />O pI=pACMlTy <br />❑ aC:1OWASTHY06UZ <br />VXMUtca OUNDTA%Kt160MTOtU[tGRMMALI <br />C MQXKKKIL <br />a Warif <br />MAZAR00UZ 1AirabZKff4AT0t <br />C CHICIIZIPAIAM <br />M PKOTREATiaCft PLANT <br />c Tl7Qt mouarrmpACa -T <br />G 1AOT¢y11411gL <br />G PUUr=TAUCIUrAUWQf EKTG& Ta <br />C TATroQ?3 TpMXc O <br />C POCU311A <br />M LAMOu51AN=AT=GnU <br />❑ LU=ZALWAWMFACMny <br />O PuzUQwATr1 WMtu <br />a QTNlM(pLLUM5PXC7VA50vM <br />t. List UP to tan sddrasaoa in the spew above. Sslact the typa(s) of Mas from the list above by checking <br />the apptoptlWA bax(ea). At feast one file typo MUST be selected. 5I1 :.. MUl 464d113n or matt to the <br />address indicated ahaye. <br />2 MM will rAtItY the app.lcant H MY EHD iliac exist. An appototmentfar review Will be eonf rmOd <br />1111, 11— tafy flva business days but nv UWthan tan (IU) days after receipt of appllcadon. The Met <br />Will be held for a maximum of five businass days for raviaw. Appotntmsnts should be scheduled <br />as=�Mply. <br />3. A fag that is actively being worked on by HHD ttaH may not be immadIately avatlable for reviser. A new <br />application may be submitted when the file is avaliable. <br />4. Ann file not retUrnad In the same Condition as rokaxod wlil he reorgantYad by EMO ataff at tho axpenaa <br />of the appllcahL Futtue fUQ rwAMR by the same appileatrt may require a $=0 deposit prior to ravl.w. <br />S '7ENTATnM appointment dates mutt be confmtad with EHO stall. <br />L Applications received shat 3AO Pm will be Processed the next busirimm day. <br />CONFIRM® APPOIN MENT DATE TIME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW GATE <br />ww+. . <br />