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F'PUi't ... LtfU Wv N11NWL'H <br />SAN J RQUIN Cfli.€NTYPU$LtC HEALTH V1CS <br />ENVIR4fiii'ifIENTAL. HEALTH 131VISa14111 � <br />304 EAST WEBER AVENUE, Tl ]Rt) FLOOR <br />�1 � R 1 9 2001 szocr�Tara GA 95202 <br />(209) 468.3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />f:.`.�PPilc•r us;csslnc3cY n �- , r� <br />fN <br />VfJ <br />PHONE �cx � � 1 "i` 1 r i ' O`� f FACSWILE <br />TEi`1TAxIVE" AYP6IMTorr.NTDA"rF <br />(Please Siva 7 to lt2 business d-' <br />CiiFGK BOX TO EXPEDIT>x fZ>~QL1tE3-$7.Op FFA Et£S <br />SIC3NATURE OF APPLIP-ANT <br />O ,/�fl <br />SoentrT� TIPAE f� C r o <br />tro,'n tate of application Laub tti i) <br />Fr,0CE58ED IN 3BUSINE53 DAYS <br />!}ATE '1 ' /,!2:3Q,J <br />EL..EMeNts *� <br />�!� Y • FNVIR0i'r WLNTAL HEALTH DIVISION FILES MAR 2 7 - 2001 <br />�( UNDERGR,OUNO TANK. JUST) CLEANUP SIT (LOP) 0 KOQ$100 ADATEMEUT ❑ *ZOLIP WASTE FACILITY <br />JK OTHcR CLE:MIUP Sn'E CmoN4.OP) 0 FOOD FACILITY D SOUR WASTE treHlGL :. <br />UX!De X4;1UND TANK tMQNITt7RLNl31R1 iblOVAL) n DOG KENNell Q DAIRY <br />ILAZARvOUS WASTE GENURA'rCR 0 CHiCKF.. I RANCH U PKG TRXATMENT PLANT <br />? <br />TIER 6D PgwuslTtE tACM.rrtf G MOTF�UiiC1TEL 0 PUMPER TRUCWYAPMICNEM T09,ET3 <br />U TATi'OOf80DY FFIRCING a PCi0Ll5PA • Gl LAND USE APPLICATION Sff" <br />0 6AFMCAL WASTE FnGuJTY G PU13UG WATtR gY37EM Q OTTER tpLEASE SPECIFY ASAWF-) <br />1. List up to ten Addrox"S In 'the .spate above. Select the type(s) of files from the list above by �Ohachl q <br />th* appropriate box(es). At least one fila type MUST be selected. Faso {�9) 464-tt�38 or�ali to th¢ <br />tirejss ins•S1C0tetit}Qy�A <br />2. EMD will notify the applicant If any EKD files cxist. An appointment for rev <br />will be confirmed <br />approkim.;ttely five business days Out no later than ben (10) days after receipt of application. The files <br />wiil ba held for a maximum, of fives buslaess days for rgvlsw. Appointments should ba scheduled <br />ac4ordinsly. <br />3. A file that is actively being worked or, by EHE staff may not be immediately available for rovlew. A new <br />a ppAit"tion may be submitted when the file is avallable. <br />4. Any file not reb4ened in the same condition ae released will leo Feorg"tred by ICHO staff at the jQcponsse <br />of tha applicant. Futuro file reviews by the sable applicant may require a $87.00 dopoait prior to review. <br />3. *TEI+ITATIVE appointment dates must be contlrmed with EHD staff. <br />6, Applications recelved after 3.DO lm will be processed the next business Clay. <br />CONFIRMED AI,mNTi> F_xT•DATE -TIME <br />MATE CONFIRMED PHONE FAX INITIALS. <br />REVIEWED YES ILIO REVIEW DATE <br />CK 04 u **W <br />TOTAL P-01 <br />