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r <br /> FROM FAX NO. ` Feb. 16 2001 02:10PM P1 <br /> INI!_'/i -.,...:: .�..�..:,,'v�•Y.�r�': rrcurr 1'i: i41CG':� r,2i <br /> 9AN JOAQUIN COUNTYPUBLIC HEALTH SERVICER <br /> FEB 2 0 2001 ENVIRONMENTAL HEALTH DIVISION <br /> 804 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVIE, lUl t4 i , $TOCKTON CA ft202 `9 <br /> PER(v11 "SEr'ViCt (209)406.34 <br /> Now <br /> \ I \I P68LIC RF'CORiD$ RELEASE APPLICATION <br /> AAP41CANT_ OGt t UQ,1 i �{� SU81NI:981AQ1lNQY t0 J L°�S <br /> PMONU_ {/S- 47d= 3! i FAO6l11stLE j; a�l'l'�D �llS 7 � <br /> T'IIi NTATIVE*APp01T DATI TIMH <br /> r <br /> PIS;tA give 7 to 16 htulnM;q;y8 ROm d;ta ;ppitt�tton; mutat <br /> rn GHECK 80X TO EnPBAITi RfiiG1UE8 T.;0 F&Vt-R MT PRoatisSID IN 3 vUs1t4K5&DAYS <br /> SIONATURE OF APPLICANTDATE 2L,��TQ <br /> ADaR at <br /> 331=777 7-777- na <br /> I MROQftAM et.u���m ettArtcx <br /> NCS y- <br /> I <br /> I <br /> ENVIRONMENTAL MR"TH pWION FILES <br /> rY U90ERGROUNO TANK(U37)C UP VOTE PLOP) 0 HOUeiNOAiMTiMr.NT ❑ 10JD WAVi FAMITY <br /> �9�- XC7tAR c AtAKUP VM(Now-L_ D FOOD rAwry' M BOWD WAVE vS,HOL9a <br /> G>RbL (0 TAW(MOMIT t�0/ gmovk-) 1� W4K�1 KL Z nAMY <br /> MCZR <br /> COWli WASYN 6iMRAtOlk C7 t:HIt91S4p1 RANCH 0 PXO TF&ATNINT FL.ANT <br /> !•L%tTr'zo7A03LtYY G #atpTet�Ft+tteL 0 Ft,SMFERTftCK'YARDICkEMTOU.ET8 <br /> Q A02WY PMCW i•taaUaloA d LARD UtgAPPUCATION SITU <br /> 12 PUBLIC WAIMR sygnAA 0 OTHAR tFS.CAN PICV ASOYM <br /> 1. hist up to tion addrlAsoe in the space above, Select the*pa(s) gllllam front th#list nbovq by cheokmng <br /> thv approprlatR bax(ts). At IH41 one file typo MUST 4940164t,04. <br /> i <br /> 2. EHD 1NIl! nntiiy the epplloartt It tiny LHA fllas'exist. An Appointment for review wit)be eonfirmov <br /> I<pprcxfrnat#iy five,"llneaa days but no tater than ten(10)days atter recslpt of epplicatlon, The files <br /> will be hold for a m <br /> aao4rdingly, ;"nivm of five busintie days for Mlow, AmIntmonty Mould Im scheduled <br /> 3. A file that is Nctiyaly beingq worked an by INC)stall m&y net be Immediately svalfeble for review, A new <br /> Apoutio may bq sublrlit 0 wne11 thi fide Is#v+AiiAble� <br /> 4. Any filar rat returnId Ira the same candIt1cm"1`01811154d will be reorpentted d UMI)$toff at the oxpeng� <br /> of the applicant. Fpture fileEtYretvi/Wi by thi sltttte y <br /> a. •TTA appos�ltMent dans most e aorta-mod with amb ta alta a�87.4Q dgpnsit prior to review, <br /> �. <br /> Applications <br /> vna reasl ad rftar 3:00 pm wlU be prOe0swed the next buslnsss.day, <br /> jCONPJRUIED APPOINTf,MINT DATE' <br /> TIME <br /> DATE 00MpiRMV0 <br /> PHONS FAX INITIAL.e � <br /> Ft1dVlt~YVEp YE$ NO � <br /> RE1IIfIYV DATE <br />