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�.t K\Guru i •.. .__ ...�.�.. <br /> SAV JOA AIN COUNTYPUBLIC HEALTH SERV"i <br /> E1awlRONMENTAL HEALTH DIVISION .� <br /> 304 EAST WMER AVENUE,THIRD FLOOR / I <br /> S'T C ON CA 5202 LJ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT,,' <br /> _ --(11151NE55lA•GENCY <br /> 1 y <br /> PHONE <br /> TENTATIVE'APPOINTMENT DATE �ri + Q*'� .M TIME Mom v • C ■J <br /> (Pteasc 9Na T m t0 bubo+ tlayi frau dale ar apPucal on sub�nitra17 ,�. Sa 1r <br /> El CNECKWXTO EXPEDITE REI;LIEST-547.00 FEE— r.ST PROCESSED IN 36USSOAYS � - - - <br /> SIGNATURE OVAPPLIGANT �� DATE O <br /> 11� RLIE#00p=31 )! THI SIOE END STAFF VSE ONLY <br /> srAiicS �. ^L C(SL oC _ I PROGRAM ELE11ENTS SEARCH <br /> iJF pr N=mit, Srr,.G en n - <br /> 'or Socra �P 5 � <br /> r So Sarna �a <br /> rl F IpLIZ <br /> SaCrurnen{ <br /> Nf U . <br /> N �.L. <br /> L02` '�' <br /> ri r 12.1 $au SO.C�r'Llr---rlf� , J441 , <br /> ENVIRONMENTAL HEALTH DIVISfON FILES L aj,I 5 <br /> UNDERGROUND TANK(US'*CLEANUP SITE(LOP) Q HOUSING ASATFMENT 4 SOUP WASTE FACIUI, I <br /> OTHER CLEANUP SITE(NON-1.06 In FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> }Q 0tMEjbGRAUH0 TANK(NOHITORINGIREMOVAL) O DOG KENNEL O DAA" O <br /> �Q KAZAM29US ViA*TE UXHERATOII O CHICKEN RMCH d PKG TREATMENT PLANT <br /> ❑ TIEREn PERMMEBFACiUTY ' O MOTEtnfOTEL ❑ PUMPER TRUCKNAROICHEM TOILETS <br /> in TATTOOIBoDT MRCING O POOLISPA ❑ LAND USE APPLICATION 5ITR5 • <br /> O MEDICAL WASTE FACILITY ((PUBLIC WATF1t SYSTEM 0 OTNER 9-LEASE SPECIFY AOOVE) <br /> 1. List up to ten addr4ses in the space above. Select the lype(s)of files from the list above by checking / •� <br /> the appropriate boxes). At least one file type MUST be selected. Fax W(2�$a A64A738 or rtpil bo th€ W <br /> addre55,jnaicated 86OVB. <br /> 2 ENO will notify the gpplicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application, The Tiles <br /> Will be heid for a mebdmDm of fore business days for review. Appointments should be scheduled <br /> xcordingfy. ' <br /> 3. A tike that is actively,being worked on by EHD staff may not be immediately available for review_ A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not retumed in the same condition as released will be reorgangxtt by EHD staff at the expense <br /> of thq applicant Future file reviews by the same applicant may require a 587.00 depoail prior to review, <br /> 5. tT•ENTAnW appointment dates must be Confirmed wikh EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> FCONFIRME­DAPPOINTMENT DATE TIME <br /> DATE CONFIRMED PFIONE FAX INITIALS <br /> REVIEWED YE=S NO REVIEW DATE <br /> FII rP u IwrAa —_ <br /> . TUTFL P.01 <br /> TOTRL P.01 <br />