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FROM '- JOA Environmental PHONE NO. 209 369 4228 Sep. 09 2002 11:26AN P2 <br />V scy" ,TWA AVENUE ---4 A <br />Y --'.. I U,vtalUN <br />CA <br />Aq � CXTO?�1 -MUM <br />- <br />crag) <br />PUBOW4 <br />R���RD <br />S RELEAsF Ap'S..ECA7igN <br />Apvt�;,,lr �/` � Q , � <br />sua�x <br />4-x-0 Ur t t.l Lq N "CIL 0. At,4 t�. Ete= N <br />TEWATiVE- AppatxrMr_" rATZ p <br />tFi"u.Qrr.�to,ob,�ca Irl 3D i'Lt SEP 0 9 2002 <br />� ► ENVIF,,ONMENT HEALTH <br />WCKSOX Ta�pWrMRECUZ47r. PERMIT/SERVICES <br />41GUATURE OF APPLICANT �p =II4tiusoArs <br />DATE • <br />UUMMRGUM TAWK (Ugn CLSAUP <br />4xm <br />atmum1m TAM WQWroR>tcWRW=A14 <br />xAZt'ttlapusy,l� ax�Hei�,azux <br />a UEMC-ALwAA-M FACM= <br />2 <br />QI=j= fd m <br />C ,= <br />n,nu>=acnm <br />[m�,rr <br />a sor�tavratrEvvFxx <br />❑ tam <br />a Pli THEATUM(rPLAW <br />a rotxjww <br />a PUMP eR17X=AAM= iVA T= M <br />C: IA= u MAPPLW�►scm+UM <br />CVlis' >Si <br />et-etwF i mviLBFeuwrmrwAa <br />tial tip to t+ert >zadrsssas in the apaaa ab ( � <br />the nQprq bc�c(os . AL tenat ° Salect the types) of Mm irate tate list 2b0vo try g <br />} cno my" MUST be $e!e <br />�itfresa clad. Fex to Ar4-1738 or mail to tt,; <br />tHD wW notify th* aPPU92rtt If an; Sia thm . An appobjUnutfor rwA2w will ba raafirmad <br />mpP try flue bustn"g days nut no 11tar Umn ton (10) days sa leceiprt�f Cdr:. 'tote tAos <br />wb* h*W for a maximum of fir. <br />=arftgty. husutasx ttay;t'lu ravi+rw. AppWntrnantz ahaWd b• zaheduled <br />A file tttat is ar3tvely hWmq work,, <br />d pn by <br />X10 daft <br />A►PPU=Wcn mty t1a nubmittaa whwn the 1110 is avaltmmY ao. tt4t be imtnodi�ly ayatlahln !ar ravi,w. Anew <br />Any e a not rs t. Fut r the r mo �tdltlorr as raiaasod will b4 r"rgantzaa by En =tt at ttu 4�•nne <br />" the eppile ap Future t taR m z try th4 *=flr apPil�t may rvguirn a 578.013 depoalt pricul0 ravlew. <br />�rAiNE st=polcrtrrsent clatan mttxt fse cas'tfirmrd whit kiiD ct1f1. <br />ApplitaUnna racsivad atttr 3;Qt3 ptrl W ill bs praceaaad the naxt huslneaee clay. <br />i <br />CCNFiRMEZ APPOINTMENT DATE ` <br />Tltdl; , <br />aar cQrit�urnl� PHc�rir;�, <br />FAX INMA-Z <br />YEE <br />u. L:,. ...w.. HQ RJE"_'iEw Q <br />,v <br />