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ENVIRONMENTAL HEALTH PAGE C <br /> 'AN JOA QUIN.COUNq Y 1 <br /> ': . � 3- X008 NV'RON1�NTAL REALM Z]A�A1�'�'M�ZVI <br /> 114 But Weber AVenUe,3"Fluor,Staol�tar1,CA 95202.270!Yj <br /> HEF L1e-'Vh0n0:(209).468-3420'"ax. (209)464-0138'4'V`eb::wwwr, <br /> s�gon eh <br /> 1 '"iii E 2 <br /> PUBLIC REC: <br /> ORD S RELEASE APPLIGAMN <br /> ApFI.IGJW r I rn 13 <br /> ADDRESS: t3U91NrrSSIAOENCY:' 1 �' s� 'I,1 � . <br /> PHONE(1): 414- AIdOrIG Q y 4 - <br /> (2); t AcslydEl.E -2? <br /> TENTATIVE*ApPorrrr ENTDATr;:, t J Lor <br /> rrna:_i 130 <br /> (oi'To d[touy f0 JyMrsiness days frOrta date of xpFllcaGnn subm#tea--Tamllmle W, must qe conflr - <br /> I`I CH�CJ[S4X FJCPEDCM REgoj 49& [GASH OR GHECIC ONLY)•kEKIUEST PROCESSED IN 3StHEp&GAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EJactronic information. EJ List[]Map—Deseripaon: <br /> FILE ADDRESS y EMown <br /> D USE QNLjr <br /> SGaat ,y�` r�Strreet Name city D1 �/liPib& d niti <br /> 2. to Q.S Gl' nit <br /> 4 ?OP6 <br /> ait$ <br /> 5. \ <br /> T. <br /> 8. d s <br /> 5, <br /> Unit 6 <br /> Specific pate Range of information"casted:From to <br /> ENVIRONMENTAL HEA TH DEPARTMENT n4I z <br /> L+'L) 6WGROUkD TANK Mn CLamup Shia(LOP) W HOuem ADAYEME arMA56tw.waat9 Factl mNEiuelX <br /> fgN'LIJ�) FCoD FAcllm W-WAM nha •.. <br /> MMW7 , <br /> �GOWTpR11�K�IliEG1OVAL) C7 POO XENME1. M OANY,aE RA7 Cad M L1ac�N ltMCN 1iWATM7=TM�rPLWT- <br /> itm , , b Moi'aul OML C7 FWPzK rauWYMD1CMMTU LM <br /> 13 7Arrbon3oaY P[9Rr,1KQ 13 POOUaPA 'M 'AW USE A PLICAnom Slsr:s <br /> 0 MgnirAL WAsrl:FAMMY E~I ONER(PLEME SPl:WYYJ <br /> WELL AND SOMC PE MIT ltacaaO$ARtAVAILAa4E VOR Mvwwv• Mu=AY-Fwaar 8.0 0-5:40aM . IEstWowo HoLmArs. <br /> i, List up to torr BddrBxsas in the space above, Select the type(s)of tiles from the Ilst abo'V's by checking the approprlato <br /> box(es). At least one file typo MUST be selectod, Mixt 12091 4t;4-0139 or rna 1g1bg a cess Indidafgd ebavg, Addrass <br /> ranges will not be accepted-for additional assistance with file Address",eontaCg the MHD-Applications.rec6lvcd rafter <br /> 3.00 pin will be processed the next business doy. <br /> 2. The EHR will trot;>ythe applicant if any f=1)[)files exl;,t. An arppolntment for Inview will be aanFirmed approximately ten(10) <br /> days aftar racelpf of Sppliaa3Nop• Tha fibs will be held for a maximum of five business days for ravlow. Appointments <br /> should be scheduled accnr4ln9ly. <br /> 3. A file that I;5�actively being worked on by EHD staff may not be Immediately avallable for review. A new application may W <br /> submitted When the file Is available. ; <br /> 4. Any file not returned In the same condiWn as released will be rearganized by EHCI staff at the ex"nse of the applicant <br /> Future Ble reviews by the same applicant may require a$95.00 deposit prior to review., <br /> EHD USE ONLY <br /> =w - <br /> TO 39Vd ETbBZ86LOTET . LT:SL 8002/EO/T0 <br />