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\ T0'd 1d141. <br /> /417/26l';3 12.c5 11601111'0 DiVIR"ENTAL HEALTH <br /> �7 ENO LOG NuMfEh <br /> Iw1.lWlt��nllvseriTa� riE:�Yre'�tvlf�ic.�ry _ <br /> -JUN 0.3 2003 <br /> ]oil^nor jq;UR 41�N'JF,1"HFc�D � . <br /> $rock CA 201- <br /> . i!"�1CIti1T H AL H i2o3,4c+�-41a <br /> Il�o/l1lMIlli�MM��I P�ft"=AP <br /> M'T �IM+M..�w��e- <br /> ( x•-15 �r1?/ it BUSfJIlrsslAffl ICYFix <br /> AD DRESS /�II �� _!�-�_. t[� pf fir,,�7- 7 C,�/ ni <br /> r-�!i' [l� 4' (�- ] �'Je:� FAC51WLG 7C,Ui ! 1 <br /> 7 7 X.1 11.-.:1.*.Z <br /> .. . <br /> 1 urr�J� �_ ►Jr <br /> IJ�1 ruFc:K�tCfx Tn Fxl�cl,�l�i trHgliEi;� -nr,FtE-/kEoUgST PROCESSED IN 3 BUSINESS DAYS 7� <br /> DATE <br /> SIC-iNATURE:OF ;:PPUCAI1T ,...: <br /> --- �-.11<}„tom..�...,. — - a'�—• �” <br /> _:-- --�.-•••••■•••.--.T--. - THM SCOfi EXr)&TAFF USF ONLY <br /> I'1;.,if,Y:+dII3!E$t � PR:,C:.1t�IREL.�seNIS �.>tit=r. <br /> �I " rT -w,.u_7 2 <br /> Pi1 <br /> S f 91 L"'-0 ...�t{.,1. .:'r''.l 8v-�G ' [09-1170-041 � ! _ i 03 <br /> Z 1.��5 �t k�� �-u•t.ct�� ''�-��v ti41 C��►C�r���i' oi� _ <br /> 03 <br /> �caltirfo/t►1lRCtITA1 L4F-AL -'H DIVSCf N PLES <br /> V14DERORCWN13 YRIK(013T}CLEANUP SITZ(LOP) 71 HOUSING ABAMMENT Ll SOUR WAS FAGILrTY <br /> V ITkk i:t.J:Ax w suri:Ti'ioiv LGr} <br /> C3 UNCMGI )MND-rA19K CIHON YOM1404Re MOVAL) ❑ DOC KENNEL ❑ DAIRY <br /> �VATTOWODY <br /> ARaOUS WAISTU r ENLF!4TOFP 0 CHICKEN RANT H 0 PKQ TRI;.ATiMENT PLANT <br /> 13 MOTILIK 7TEL ❑ PUMPER T IJCK/1 NiDILNEiA TOtLETb <br /> PI_IRCIN$ Q PO0I J3PA C3 LAND WUF APPLICATION SITES <br /> 0 JJED4l1L WASTE FAGILIV, d OTHER LVLEASE SPECJFYABOVE) <br /> 1, LIM up to tars adilrew-en in the space above. 39TV-1 the type($)of files from the list above by checking <br /> thli approgdato k ox(es). At feast one fila type MWIT be selected. Fax to(209)464-0138 or mail to the <br /> Ir inKllrntp ii abovo, <br /> 2. EMD will notily 0,? if any ERD tiles exist. An appointment for review will be confirmed <br /> :� r�nl v k F }nC i IICRt14iI. aka f ilpC' <br /> appraXitrll><I 1 j 11 UUSTIie53 -days but Ilii wIfir Shan '.r; Sya 111:18:r@Cfi fi- '° ,pp <br /> will be held for a Fnax;mram of five business day*for review. Appointments should be Scheduled <br /> accordingly. <br /> ,�. <br /> Mile that iii aCtively teeing worked an by EHO statl may not be immediately available for review. A naw <br /> - n ;j!Cltl/ln rrluvIia e,11.1tni}twi when tho fleet is available. <br /> l; i1Vt a atul,nod in!,,he ziene ronditlon ag rt►iR;If,ed will the reorganized by EHD stats at elle expertise <br /> of the applicant. Future file reviews by the same a pptle ant may require a$89.00 dip posit prior to review. <br /> 9. 'TENTATIVE aj)PQlntrne,•It datOS must be eohflrme<I whet EHD staff. <br /> 6. 'Applications received alter 3.00 pm will be processed the next business day. <br /> tt?NFIRNMED APPOtNTIRirW DATE TIME <br /> niww. n:�s tiss::nr�r.•, PROW, FAY INITIALS - <br /> T0'd $21OI79C60ZI 011 MID d3W-lbd WOd3 WabO-TT £00E-E0-90 <br />