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• �,�. .�.��.:u��eur Imo.wt <br /> SAN ' QUIN COUNTYPUBLIC HEALTH Se...evjCES <br /> 'ZNVIRONMENTAL HEALTH DIVISION <br /> 304 EAST <br /> V 202D FLOOR AVENUE, <br /> LLL��JJ <br /> V (209)488n3420 <br /> y PUBLIC RECORDS RELEASE APPLICATION SEP 1 9 2000 <br /> �PPLICAN7 i i ld L S <br /> SUSINESS/gCENGT NMENT HEALTH <br /> ADDRESS <br /> FACSIMILE '--�'— <br /> TENTATIVE}APPOINTMENT DATE <br /> (Please give 7W 1 p Aas:Aem d s fro TIME <br /> al' m dafA of application aubmittay <br /> CHECK Box To EXPPbITF REQUEST-SirfA0 FEE_RE 57 ROCESSED IN 3 BUSINESS DAYS <br /> TSIGNATURE OF APPLICANT 0. <br /> I DATE <br /> j FILE ADORE95 <br /> THIS SIDE EHD STAFF USE ONLY <br /> J 5 PROGRAM ELEMENTS SEARCH <br /> M DD e <br /> C,M2`15� <br /> I <br /> �ir <br /> i <br /> I <br /> ! ENVIRONMENTA HEALTH DIVISION FILES <br /> 2'OTHERC CLEANUP <br /> TANK(NON CLEANUP sITS(LOPI ❑ HOUSING ABATEMENT M SOLID WASTE FACIUiY <br /> q/O7HER CLEANUP SrtE(NON-LOP} ❑ <br /> OTHER <br /> (NONTTORING/Mroov FOOD FACILnY ❑ SOLID WASTE VEHICLE' <br /> ; HAZARDOUS WASTE GENERATOR AU ❑ DOG KENNEL - ❑ DAIRY <br /> ❑ TIERED PERMITTED FACILITY ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ MEDICAL <br /> WASaoDy EFACpERCLI ❑ M QIJSPATEL n PUMPER TRUCxryAR07CHEM TOILETS <br /> p MEDICAL WAL7E FACILITY 0 PUBLICIA ❑ LAND USE APPLICATIONSITES <br /> ❑ PUBUC WATt:R aYSYEM O OTHER(PLEASE SPECIFY ABOVE) <br /> hist up to tan addresses in the space above- Select the type(s) <br /> of files from the 11st above 6y checking <br /> the+appropriate box(e5)_ At 'east one fila typo MUST be selected, Fax to tZDB}q64 0 mail indicated ( v the <br /> ?• EHD will notify the applicant if any EHD files exist. An appointmvnk for review will ba confirrnad <br /> approximately five business days but no later than ten(10)days after receipt of appBcatton_ The files <br /> will be held for a maXimum Or five business days for revIew. Appointments should be scheduled <br /> accordingly, <br /> s. A file that is actively being worked on <br /> aPP"Catian a EHD staff may not be immediate)available for revIeYy, Anew <br /> may he submitted when the file is available. <br /> A• Any file not returned in the same condition as rvleased will be reorganiaad by EHD staff at the expense <br /> of the TIVEa p Future file reviews by the same applicant may require a WAW deposit prior to review. <br /> 5- <br /> *TENTATIVE appointment dates must be conttnnad with EHD staff. <br /> 6• Applications received after 3:00 pm will be processed the next business day. <br /> EC:O7NFJRMEJ) <br /> PPOINTMENT DATE <br /> TIME_ <br /> PHONE FAX. 1NrrlAts <br /> YES Nps REVIEW DATE <br /> TOTAL P.01 <br />