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FAX K). 9t6 f-- c- <br /> .I r 1% L.""Ij,l <br /> MAR 31 �)9 WD I'i:111 KF NN <br /> Now <br /> Pnat-il°Rax Note 7671 IT <br /> Frew <br /> s:s <br /> Lig <br /> IF <br /> DIVISION <br /> PUBLIC APPLIC-ATT014 <br /> -uTT <br /> APPL <br /> AnoRiss oNE <br /> At cy�r , <br /> su <br /> 9 IT-N-9 V-a op., <br /> y p <br /> gj:l M; <br /> a <br /> 4LA <br /> ILI- <br /> v <br /> *,P,A a, 0,Ar JL <br /> TS IDENTIFIED IN FUVIUC HEA"H <br /> 7HI5 NO TICF IS SUBJF-CT-roREQUIREMEN POLICY ffO-4-ofj7, 0RnINATA(--V-CODE OF <br /> E;EpVICE-Sfv:jqvjkoNMENTAL HFALT'H DIVIRION (FHD) -, �,-,AT P-lVA T E S C 0 3 F-, <br /> SAt,4 �jo/kQUIN ColiNr(. END Frp O\Nt) SETtVICE CHARCS PEGOWTIOW) <br /> GoVFRNMENT CODE AND TmF--r-VIQ&4CE COUE. <br /> I. A Mr,\XIMUM OF T1±R.j111 PRWISS ADURL&SES PFR <br /> 2. FUSLIC RLESiRECORUS F2r0V-COWFRISCEByHCpU � FINOIRMAEmF-Pf CQrrdiVM.FAj <br /> 4PTPSOA'INR-7-MsrHTESDAURLEED PPMCOrDIcD5As <br /> l' <br /> ED BY CALLING (2091468-34 <br /> T�4PU F;ZtDAY EXCLUDING HOLIDAYS. 8,00 AM TO 17.-.(,,o NOON AND 1-0.0 TO 1-30 PrA <br /> J. A FVRUC F;Lf.:5fRfCoA0S RELEASE APPLICATION IpFMA) IS RF <br /> 4. PUBLIC FILESIRECORDS NOT RFTURNEE) IN TH' SAME Cf)NO(TiON AS RFcj-:jVEo 'vVJLL BE <br /> p <br /> CopRECTL-0 BY -p-tE EMO STAFF AT-rtiE EXrErASE Or- THE AF17-WCAtl-7- -HIS ADcj,r'.CN/',L <br /> SESVICE WILL UE MWEV TO THE AFFLICANT FOR PAvrAE-IT. (SEE END POLICY a4- 0(3"1 <br /> S. ORIGINAL PUlBLIC FILSSIAECORIO�5HAUI,40-3 BE REMOVED FROM THE IEHD <br /> ............... <br /> 3IGNATURE Qr-APPUCANT —,DAT <br /> ff <br /> 1r0 <br /> l !7A re <br /> -:llr�INARJRF OF PELEASIN <br /> 94 00 111 (RIFV 9fqGl <br />