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I <br /> 03—X20Zu 09=1�R Fri} CF-S <br /> �.,. �.• :;;';,_' rte_. SAN �,UtN CUUNTYPUFaLlG7H D SiON . <br /> F-MROhiM1~N'£A1..Cr�EAL 1 <br /> 304 QST S OCKT41'1 GA 9 202 THIRD FLOOR <br /> U 01 (209)46$-3420 <br /> ' i ALS H PUBLIC R5-CORDS RELF-ASF-APPLICATION <br /> �, sAPP1.TCAN <br /> AO DRESS <br /> FACSIMILEPA -61 -nME 00 <br /> ,A t <br /> ENTATIVE•APPOiNrrllEK3 <br /> {PF9ase 91'�7 SA�d buslnesg ads fray+data of appilcailen SuIImlt�) V <br /> G,)Fr, 50XT0 tXPEDI7E REQUEST'ra'"]FEE—RF-0 EVPRDC.ES$F-P IN 3 BUSLMF$S DAYS <br /> DpTE ' <br /> SIGNA-r RE.OF APF*LIGANT <br /> trli.E A13t3RES& <br /> T7ROGIL" MEKC&$EARCFI <br /> taezrdl <br /> m <br /> a S a lP ► , <br /> g,s 3 S Q--7 <br /> I~NVIRONMEt+ITAL HEALTH DMSION FIM <br /> UtlOE f'OtMC)TANK(UST)CLEANUP SM O FOODD FFACIL(Lop) G FIOLiAAITY <br /> ❑ UDWASTG VEHIME <br /> lit O•THEFI CLEANUP SITE(NON-LOP) DOG BATPI.tEN7 ❑ DAIRY <br /> uxD C3RoLimj?-•ANK jmamrroPjNW tFkIOVAL} MCr CHIHICKL�N IOI :3 PVO WMATFAOHT PL.AM <br /> Dous wAST9 GENMATOR tJ RANG>i Q PUtdPER TRUCWTAP.=HEM TOILM <br /> T{>;FtE P'SEtAISTTED F 0 ACU Y NPin LAND 113E APPUQAMm SITes <br /> E3 TATTG BODY PEIRCING POOLISOLISPA ❑ MER(PLEME SPECIFY ABOVE) <br /> ❑ MEOlC YYASTE FACp..rr`1 O pUBLIG WATEEt.'3YSTs� <br /> 1. List up 4a ten addPesseS in tftie space above. Setect the types)of filed from the list above by 4hec1<irI{f <br /> the appropriate box(es). At least ono M!type IAUV.be selected. >= 2t10 '138 r mai 3e <br /> Address indigate above. Intrnerrt for review will be confirmed <br /> 2. EHO will notify tho applicant if any EHO files eXisL An WO <br /> approximately five bu3:inass day$but no Ister than ten(10)days after rernipt of application, The#alas <br /> will be held for a maximum of five#s>isinnss days for mviewn Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked ort by EHD staff may not be lrrrmediataly available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returrlfld in she Game cdndMan as released will be reorganized by ERD staff at the eXpose <br /> of the appiicant. future file revjwa by the Sartre Sppileant may reoluire a$78.00 depoelt prior tb reveww. <br /> 8, '"TENTATIVE appointment dates must be colifirmed with EHO Staff. <br /> 6• AppHcations received after 3.00 pre will he proctSSSd 11118 next buslrLess day. <br /> CONFrE FAX <br /> APPOINTMENT DA'L'E TlM9 <br /> BATE GI NFIRMED PHONE INITIAI_8 <br /> RIFVIE E0 YES NQ REVIEW PATE <br /> ao ss <br /> TOTAL. P.02 <br />