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FROM FICA:1 Eau i l-Qnmer°ta l PHONE NO. : 209 ��Eg 4220 r- r1a y. 05 20eQ 12:17F'N P1 <br /> Dau tpG n�a�� <br /> SA OAQUIN COUNTYPUBLiC HEALTH S VICFs <br /> C(7 ,� EN <br /> \N f�-`:� ' ENVIRONMENTAL HEALTH 01VISIO�1He . <br /> 304 EAST WMM AVur.THwo F WoRSTOCKTONCA 91-202 <br /> UBUC R�COROS RElASE APPLICAT10 <br /> auafrMnsirrCr � I�l o• h�� N h5so . <br /> .aces 1 L1G TD N LR-"e .y t_0 r::-j �G <br /> 'i` HTATIYE'APPotMTmew uAre TIME <br /> [Ftassre yrve 7 to tU busldits Gays rrvm dav<ef poi4ailon submittal) <br /> CH1tiGii Bq)G TD E]rneSUT1�RiEQ[iL�ST.37t1.0o AES_REGIIESTPFbOC>-cS8Ep 7K 3 SEf51l�.SS OA7S <br /> SIC-NATURE OF APPUCAKT _, DATE <br /> } <br /> F"AMRM <br /> VA <br /> r <br /> Sli <br /> ENVIRCNUENTAL HE4LT 1 OPASION FtLes <br /> IJMMRGaQUNR TANK(UV4 CUAM IC'M[LOPI C3 RMSjWAxATWM Q SOLADWAMTH FACUTY <br /> 1WUNW0=PT= <br /> (r1GH.LaPagoon FAaUTY (s saLM WASTE VEitiCl..�t!!W#It=:PWN41R0AOVA14 G 1ZG['elf'F_MM Q'19At v <br /> "AXAft0Q ;S wA 7M GRUP-RA-MR Q CNJOV. 1 R W H [7 PKO VFMATMIT PLAhtr <br /> IM M M0TEIJk lTL 0 P1SMMMTi UMMAUUMFISATOADS <br /> fl TAT1130Jt3Q13Ype) 7FtQ CS PQOLWA G LMIJU3EATyKM—TSONSffU <br /> Q <br /> 360tAL WAM F,4C7LM a Pu1is.4CVVA-RM SYWMM 0 on" !;ft FY' <br /> 't. L ISt Up to tnn',addr"Ss"in the spfuae abu". SalecL the rAWS)of floes Ewan the Ilst ab9ye by checldoff <br /> the appropriate bm(es)_ At hast one filo type MUST be sel+8tad. <br /> s'is��IQfs lydif�t�d.ak�ave. <br /> 2 END WM nAkify the Appiteint.if any 040 fts'aodst. An appotnhwent for ro*gw wilt b4 conf-lnned <br /> *ppmximately Rve business days but no latlW 0=ton(10)slays after t eilrtiat aMftalion. The shies <br /> will ba hold for a maximurn Of five lsuaingas days'isax Mevlaw. APPOWMAW shoW be scheduled <br /> a�orclln�fy. °' _ <br /> 3. A file that is audvsly being worked on by EN0 stuff may not be iirumedlately avallable i0;review. A roue <br /> appOcabon may be submlktad whvn tha file Is avali�ktj*. <br /> 4. Any fie not mCurned In the same+anrldWon as r*Wm*W wit(4e m organtxael by EM*Mff at the exMae <br /> 4f the appll�ttt. Future fllw Mims toy th4 same applicant may require a$78.00 depastt prier to rcrvtew. <br /> S. 'TENTATIV9 appolnUne*dates must be canfitmed with lilt},staff. <br /> ARplicntlons'rmceived aft&r 3:00 pm will toe proovaeed the noxi business clay. <br /> CONFIRMED APPQI'NTMENT DATE -nME <br /> DAIS COPMRMEn Pti"r. f'" INITIALS <br /> REVIEW= YES NO REVIEW DATE <br /> 70TPL P.III <br />