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rI`� ��A4UiN COUNTYPUuC HSAL� ACES . <br /> �i Uel E C E u \�� RONMENTAt,.HEALTH lD <br /> 304 tfA�l' f Wracit AVR�NM THIRD FLOOR <br /> APR 0 7 2003 sTocKTOIN CIA 05703 <br /> (09)46d-3aZ0 <br /> ENVIRONMENT �O RECORDS RELEASE APPLICATION <br /> n1villftwslNVAf, Gr, <br /> ENO" <br /> moss Stio caAli <br /> ��1 ttt7,. �6D0 sACsitN�LE TID 7 -39�$ �n:tel' � <br /> TENTA IVE'AMPOq�tTDAti .t5 tren�f <br /> Ir rue " � ���tx��S 5 <br /> (per"GjV*r to 40 Sushwg from Cate or appQtatton sobensttN IRw1 u✓ ��j 03 <br /> cHdt:cox To oci'sorm Rt:WEm'-tM00 RICta-iRgattt►"'1•"T PaOCBss <br /> tan>N 3 WJSVMS DAYS a' <br /> jrSMNATURE OF"PUCAlff <br /> - cK <br /> F"ADox"S <br /> . A <br /> ENVIRONMENTAL HEALTH OMSM FH-ES <br /> n uN t3. ATAriK less! NUP stns LOP) o Hoc SWG A13ATIMILUT Cl sono WASTia FACtLRY <br /> Q POOP FACILITY t7 sOLiQ WAi 1'E va"1C>Z <br /> 071M cmw <br /> 0 0041 <br /> K� ❑ pOp <br /> opOVAL) ' =Tft&TMWT PLANTa TANK CHIW RANO" <br /> M pOa y RTRUgOYMtCM <br /> TOIs <br /> C3 HATARWAWAWuor0iml <br /> Oil �f O FACUTY A <br /> O LAN®uss AprucATM Ames <br /> (3 TATTOOts01sY P C) d CHER 1pLEA=WlCiFY ASaVE) <br /> G jjWCAL WAi=FAClM <br /> abova. Select the tyWS)of tiles Fran tits list above by checking <br /> �. List up to ten <br /> addresses in limp space m;ew;,tg���38 or mail to the <br /> the apron bo)ggs). At most one file type MUST be solected. — <br /> 2 EHD WM�Y the aAp�t It any EHD tiles exist An ap;Wnttent for revi�t be a* ��files <br /> a}sProximstely five business clays but no later than ten(1o)days after�Ip <br /> apbe held for s msx&rnsm of five business days for review. A,PpointrnentS should be scheduled <br /> willaccordinglytNOrked on EHC staff may not be immediately available for review. A now <br /> A file�t is WOW*being by <br /> epplkation may be submitted when the file is avalitble. 80111 At the expense <br /> 4. Any hp not returned in the SAM Condition as rNaased will be reogW*aim 00 deposit prior to revlew. <br /> of tM appN� Future 1116 roviews by the same apPliaant may TeuIfM <br /> L Appaod with RM sUff. <br /> *TENcas n appolintanat date*must b*0 <br /> rs A avod#'�3:00 txn will b*processed the next bu=in046 dAY- <br /> CONFIRMED APPMOINt�i! 4T DA?F nom• <br /> j <br /> DATE C01�1RIMEIS PHONE FAX INMALS <br /> p lf$S NO REVIEW DATE <br /> Ed WU60:OT E00Z 40 '-+dd 'ON W:1 wow <br />