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v <br /> �m AdFPF-077� <br /> ro. = 209 369 4229 =e6 09 24� 89:001TS PS fit, <br /> ..-� SAl ,CAQL'IN COUNTYPU <br /> ENVIRON M ELIC HEALTFt SERVICES •�wwu <br /> ENTALHEALTH [)IVISION <br /> -�FAST WEBER AVENUE,THIRD FLOOR –031 <br /> 3TOCKTCN CA V5702 <br /> PUBLIC RECO (Z9)493,1420 <br /> RDS RELEASE <br /> AP;1IJ(',AIfT I APPUCATION <br /> AOD72L,S3 4Z —,T D. ' <br /> J/ I,,yy E S <br /> PRUNE Z�W T - 3�-ri I <br /> PACRmiLE <br /> TEMAT[VE�APpciRr.S+Psrc <br /> RATS <br /> 0'1••s•dre 7 to iota to p�Msy taa7a—fie a r TWE <br /> •upmfmli E 8 -9 2000 1 <br /> ❑ CHECK MOX TO E)01ED1rM&COVE T STaeo F <br /> -KE9UEST PROCE65EC lR] <br /> SIGNATURE OF APPLICANT 9USINRS DAyt; <br /> DATA <br /> F)LE ADDRESS <br /> Y CO I <br /> 10 OK-Y <br /> I Ilk <br /> Imo, . <br /> V 0 — <br /> ENVIRONMENTAL HEALTN DIVISION FLL. S <br /> R.UN�EiZ3ROUNO TANK(LIST)GLFANUP S(T6{_L'P) ❑ NOUSIKO AUATEMER-T Oo 1pd���D <br /> ❑ UN0ER 3Xf)W Up ETTn(UDNdOt� C .SOLID WASTE FACIU <br /> UNAfDEwR��OuROUtq!TANLC(HDNITORM IAA-mov ROOD MINIELy ❑ SOLID WASTE VFJLI <br /> KALARDOUSWASTHG Q WGXFH <br /> ❑ TM""RtRMYTTCD FACIU`�'�OK n Cli�1l�PAL.ICH L2 DAMY <br /> ❑ TATrOOSCDY PHUtOWG MOTELMOT0. Q PK(1 TREATMENT PLANT <br /> O UEDICAL WART£FAGLITy C Poot"WA In PtLLRPER 1FUcC AROWCHEDI To1n- <br /> 1..IEt t O PUaLIC WATr.�+YSTeT1 Q LARD USE AMJL ATiON Gi-," FEB 2 5 2000 <br /> T UP o tan andre"Os in the e O OTH!•tt(�' SPECIFY ADOM <br /> the appropriatePana 'hove. Select the tMor)of fetes from the 113t above o �h <br /> obox(es)_ At least ono filo Type MUST be seitettd. x y � n9 <br /> 2. - 7noti a � �,�-.Q9.1464-17t A_�_�3 nT mail!o fhe <br /> EHo xi notify the app'ia Ss d any Ut nEkrj fid exlat An aPPotntment for review wUi be Confimted <br /> ePl>roximatdy five buslne>;s days out no later than teff(1D)da Aker <br /> ME bo held for a maximum of five bu3iooas days <br /> reCelptafaPPGcation. The1Lea <br /> 3. ALfile to Dry. APfmintment5 ahoWd be srlledul►d <br /> at Is acrivefy being WorY.ad on by El-10 etaH may not be Lnim,4atei a <br /> 0. AnP,flie on Tay be submlbad when the Hla Is aVaUAblt, <br /> y Elle not returned in Ute Y voltabte for <br /> review, A new <br /> °f the a fie Wm a CDI1dlfion as raltaseci will be reor <br /> 5. PP ant Fabere file reviews di Ute Sema a Danfxad by CHO ctartat tho ex <br /> 'TENTATIVE appointment dates a pp"c m mal require a$78.60 d p �'aee <br /> s- Applications roc., nt entr 3:07 must be canfinn D Staff. epoait rl or to rav;ew. <br /> Prn will bo processed the next huainess clay. <br /> CONFIRMED APPOINTMENT DATE _ <br /> i OA-IFCONFIRMED TUy£ <br /> i <br /> I RHONE FAX INITIALS <br /> REVIEWED ,E5 <br /> PATE <br /> TOTFL 4.01 <br /> 00 -048 tea' [ua� CRiv�-ev, a/�3 0 l Jl �hzx�o� <br />