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O� 10-30-•2001 09!555 1 FROM luhod <br /> \ � l.v l..y••1r Frr.1 <br /> JOAQVIN COUNTYPUBLIC HEALTi WJERVICES <br /> ENVIRONMENTAL.1111.T1•i DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FL.0OP. <br /> �y It STOCICrON CA 95.202 <br /> (200)468-3420 <br /> ,� .. UBLIC RECORDS RELEASE APPLICATION <br /> APPI,t0AN7 es <br /> 6 L1StNL881AG$NCy- k...a••a Ice R&S&rh&LA'S Vq errr, <br /> ADOUCS 714/671-3410• FAX:714/671-1008 <br /> PHCNQ 52700 Craig Circle • Fullerton,CA 94835 <br /> TFINTATIME'APPOiHTIMI{NT 8A7U TIME <br /> (Please give 7 t 10 k%mincas do s r. date I PIDNcatfot1 iubm�Ual} <br /> : Uti1 -r , <br /> CHECK SOK TO,"Pf D,TS REQUGST.. T.GO F 5T PROC65SE 16 7 NUSINF.S5 DAYS <br /> SIGNATURE OF QIP,LIGAtI'T t]A7>= �� '3 OVd l <br /> r-149 ADtTRE44 TNIB"A KHD V4- F USE ONLY <br /> PJ`t9GMM r-LFMQNT5 SEAKCh <br /> W / -V?-44!e 3� <br /> ! EN),flRONMENTAL MEALTH DIVISION FILES <br /> is UNDER R0U40 TANK JUST)CLEAMUP•SITE JioP) a HCUS¢aG AI3AT&MENT 0 SOLID WASTE FACu.r1Y <br /> Of OTHER CLEA'1VP $17M(NON-tOPl O FOOD FACILITY Q SOt O WASTE YEMCLF <br /> t�UNDERQROUND TANK(MON ITQAINGJRGMOVAL) O OQG KMN15L O DAIRY <br /> d P AZARDOus WA3Tg.GE>tt:RATOR o CHICKEN Rmcji O FKG 7MIATMENT PLANT <br /> D TIFALD PERtai rTv FAcILrrY O a10TEUHOTEL ❑ PUMPER TRUCWYArjUCkW To"T3 <br /> C3 TATT001400Y P31Ulmg 0 POOUlBPA -- O LMtD'USA APPLICATION SrreS <br /> d M110tCAL tnASTI!FAC WTY O PUBt.IC WAT>-A SYSTEM C OTHSR(PLEAS@ sPeafY AeasvE) <br /> 1• I_15t up to tan address4e in the spaco ab4vc. Select the types)of tiles from tho list above by clig"llyr <br /> tfi9 approolate bgx(es), At least one file type MUST be selsCted, Fox Ig 120j 4U:01 3_5 tt{mar7_t_ath2 <br /> >i ra af.L.� leated abors <br /> 2. FAD will notify the Replicant if any END files exist. An appointment For rcvivw will bo confirmcd <br /> approximately five business pays but no later than ten(10)days after recolpt of application. The filas <br /> will be hold for a maxi mum of live buoiness days for review, appointments should by Scheduled <br /> Accordingly. <br /> 3. A filo that Is actively biting worked,on bpi END staff may not be immediately QvQ11010 for reviaw. A pow <br /> opppeaU*M may ba Submitted when the tllc is avallablo. <br /> 4• Any file not rcturnao in the saMrg con(Jition a9 relmasR(l will 1 I0 roirganized by EHO staff at the�acp�etlsr <br /> Of,hp �ppliCilnt. Futgre lilt rsvieW$by the same applicant may fequiro a$57.00 deposit prior to reYlew. <br /> 5• "TENTATIVE appointment dates mast be s onfirrled With E>zD staff. <br /> 0• Applir-ations recttived after 3:00 pm wKI be•processed tilt next business day. <br /> } <br /> CC}NFiRMED APPOINTMENT DATE TIME <br /> DATE CQNFtRMcD PHfltVE FAX INITIALS 1 <br /> RL-vAEWrl0 YES NO _ REVIEW DATE <br /> TCTAL P.Q1 <br />