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/' �Bti4-2i3L^F7 iL' FFUM <br /> wac„w:w.0 TO f 4667355 ' <br /> •✓' ' .. JOAQUIN COUNTYPUBllC HEALTH SEEZVIGcu `xo�aoiwauFx D _ <br /> ENVIRONMENTAL HEALTH DIVISIOIV <br /> 9T' . <br /> 3114 FAST STOC TgON ugQ02 LOOF; AUG 4 2000 <br /> +° (208)468-3420 <br /> � //�� � RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> PPPLfCANT`) )l/I K-e-- 2]P-KI BUSINESSlAGENC� IT/SERVICES <br /> pdL��D <br /> PHONE (a(n /r FACSIMILE_ <br /> TENTATIYC'APFOWTMFNTDATE <br /> ipjei eh'a]t0 to lxwnenn eeYa Iron rials atappiiuBTIME <br /> 9iilvnaal) <br /> CHECK aGx tU ExYEOITTi Fr!(JHFq}-$7 pB F,E QUESTPROCE55EDIN l BUSWES:I DAYS <br /> S10NATUREOFAPPLICAN' lJ _ DATE S-5�^4;0 <br /> PILa TNT110E Him STAFF USE ONLY <br /> PRQoMMncuEMS SFJWCH <br /> I ' <br /> L 1 <br /> -- ENVIRONMENTAL HEALTH DIVISION FILES <br /> U3?'1uNDERGROUNU TAM IUST)CIEANUPSITE tLOp) ❑ HOUSINGABATEMENT <br /> O'DTRERCLEANUPSITE INON�LCP) ❑ FOOD PUST) <br /> ❑ SOLID WASTE FAQUTY <br /> W'UNDERGROUND TANK(MONiTORRN;dREMOV ❑ ACaJTT CI SOLID WASTE YBUp� <br /> AU DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR <br /> ❑ T <br /> CI CHICKEN RANCH O PUG TREATMENT PLANT <br /> Cl ATTOO ID L3MOTEVHOTel ❑ PUYPER TRUCNn'ARD/CIEAr TOILCTS <br /> ❑ <br /> MEDICALWDASTE FACILITYPOt7USPA O LAND US6APPUCATI NsrTES <br /> ❑ PUDLJC WATER SYSTEM OOfi'"tPt=Z SPECIFY ABOVE) <br /> T• List up to tan addmesas In the space above. Select the type(,)of file,from the Ilst above by choclung <br /> the appropriate bOx(es). At least one SW type MUST be selected. FA3:S0.(ZOB)4640178 or a'I t The <br /> addro ,Intll atgd at>o <br /> 2 FHD will notify the applicant If any EHO fibs axis[ An appointment f4w review will be confirmed <br /> approximately five business days but no later Uten ten(10)days after recaipt of application. Th. ilea <br /> awill be held for a maximum of five business days for reviaw, Appointments <br /> ccordingy, eiloultl be scheduled <br /> l <br /> 3. A rite that is actively being wonted on by END staff may not be Imblerllately available for review. A new <br /> aPPlicatOn may be submitted when the flit IN available. <br /> 4; Any file not returned in the tWma condltton as ralaa,ed will be reorSiar¢ad by END staff at the <br /> Of the applicant Future lilt reviews by the same applicant may mqute A$78.00 deposit prior tX”ev review, <br /> 3, 'TENTATIVE appointment dales meet be"Ofirmed w <br /> 6: Applications recalvad after 7:00 win ba th 19iD.ataff. <br /> J Pm proce„ad the next b ISIMINs day, <br /> t�ONF1RMED APPOINTMENT DATE TIME _ <br /> TE CONFIRMED PHONE FAX INITIALS <br /> ------__�_ <br /> EYIEWEO <br /> I ao a YES NO REVIEW DATE <br /> T'OTFt P.01 <br />