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r <br /> 81 103/2003 15:16 454EI136 !iENVTRDNMENTAI. HLAI-I H <br /> /I 1.11 I IiMLII . <br /> A fc,I[:,111 l:l I� .�oAQUIN .oU[dTYF Ui3L[C HEALTH SERVICES , <br /> ENVIRONMENTAL"HEALTH DIVISION <br /> M i r; 6 2 a5 304 SAST W913ER AVERLIF,THIRD FLOOR <br /> VOCKTO.N CA 95202 ! <br /> EN {RON IE-N!' AL (209)468-3420 <br /> kBLIC RECORDS RE' LE-ASE APPLICATION <br /> LIC c, t rJ i >3us1NEt.S1 tAIICY A L „ <br /> ORE 2. o M t N -TS <br /> Qme <br /> TENTATI APPOINTMENT CATZ_1 ti UG. 2 ��,2 0 0 5 �„E _I * rpm <br /> tPlAaaa QKV'T t6 90 binkMA 64yn freer data of angir elton sUb-milt.Q- <br /> LIN <br /> Cit aox TO EX rr&REQUEST-$09.00 REE-REQUEST l"ROCESSE0 W 3 BUSINESS f}AY5 <br /> *,S GNA t'URE OF API ILICANfZFJAT1= <br /> r i1 ' <br /> HLAs ADDRESS THIS SIDE EHD STAFF Me CMLY <br /> PROGRAM SLEPALnYS 3C-ARC Ge <br /> Line. It IL A lit-100 <br /> i. L,r7e- q r <br /> ENVIRONMENTAL HSAL.TH DN ML ON FILE$ I <br /> UND a kr.ItOilKD*AN K(UST)CLEANUP StYE(LOP) o HOUStN6 ArjATI2MFNT 0 SOLID WASTE FACq.,t Y <br /> OTN E R CLXAMUP S (No"-Lop) ❑ r-oov FACILITY D SOLM WASTE VEHICLE <br /> UN PGROiii(D ' K(MpF11T❑RINGfIMMOVAL1 Cl poo,xEl m G DAIRY. <br /> US WAS dt:NERATOR n CIAWMHAANCH 0 PKr-TREATUA81�T PLANT <br /> TIE pERIf MMP AGrU" 0 MOTEtJ 4=0' CI PUMPM TRVcrVYATM C4CM!TOILETS � <br /> T O)DODY PGIR tHa Il POOLTSPA Q LANM USI:APPIXATPON Srr=S <br /> ME SAL WASTE FA rLRY ❑ OTHER( EASE SP'WT'A80V'E) <br /> 1 t..ist tap W n addresses In tall space above. S&jeet the typos) of tiles from Elie fist above by chaeking <br /> the apprb mate box(es). At least onfl fila type MUST be selaciecf. fax fa_(2091_464_-0138 or malt to life_ <br /> �• addrrss 1 dieted above. <br /> EHO will City the applicant if any ENA files exist. All appointment for review wilt be confirmed <br /> approl tely live business days but no iatar.than [on-(111)dnyS attar rer_eipt.of application. The fdl-. <br /> will Eye hat for a maxlrngm of five buslhesS days for review. Appointments shaufd be scheduled <br /> according y. <br /> A file that s actively being workad on by-EHO staff m2y not be Immediately available for review. A new <br /> 8ppliC.afl* mAy be,submitted when the file Is i vallable. <br /> Any filen t rettirnad Ih tho same aonditloti as'reieasad will bit reorganized by EHD sniff at file expanse � <br /> of the appl$cant. Future file reviews by the same applicant may require a$89.00 deposit prier to ravicw, <br /> 5 . MNTATr rE appointmatlt dates mt;st be cottfilined with EHD staff. <br /> Appl'rcatio ris received after 3,00 prA will be processed the t'iest business day. <br /> ONFIRMED AP O NTMENT DAT'S. TIME <br /> TE p NFIRMED _ _ PHONE FAX I[+mAu <br /> eyle Ela YES NO E2t;V')EW DATE <br /> �I 1 <br />