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S OAQMN GOUN YPUBi_IC HE <br /> ALTH RVIGEs <br /> ENVIRONMENTAL HEALTH DIVISION ._•.;; �4 <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTOAI <br /> CA y`i202 <br /> i <br /> POW 458-M2O <br /> PUBLIC RECORDS RELEASE APPUCATIOIV fli't�i� Z iL'i <br /> APPLICANTJ`ILSC�/T <br /> i'. fr-. <br /> KRrf��t �iSSo�r,�F, s l <br /> rAC$jFjj,1E 'Moo <br /> 7ENTr,,tY24AI',0jrjTM NTUArE_ M- _ <br /> IFlC:�tic:grrg 7 t;r 7li hu:. /i �� / .M. <br /> i�c5 �a��from date cf apisliG�Uw1 <br /> !!!! `"� 4KEGr�" <br /> ..+G}C 7o cXF'Zdi71- FtEQiIL "1'-5s7-04 I"tE-KEGIJrzST PRt� � FV,• <br /> €y- yINES5 )AYS <br /> SI--NAl'1JRE OF APPLICANT -� <br /> -- -- _.-� DATE ' <br /> ----_---r--.�,,,,o�-- - si���� ter" -•- ----- - ._.._..�—_...- <br /> ,— <br /> •� 71L_,4f7(}/�tj5 E TFi15 Stat EHb tiYAFr USI~OrtLy "`� <br /> � fF ISR:;.SAM ctF>:aFtrT;scn�Cik <br /> _ <br /> r <br /> 3-s-•.z C ---- <br /> "ViRONMENTAL HEALTH DIVISION Flr_ES <br /> J"Mr;RGF''OUN"TANK(iJ`s: i'.i_=ANUi-S1 11:(iC)P} u €ii1US1iVG ABATEMENT ❑ �• <br /> OTHER GLFA.NUP.°,IIF CNC)�f-Lop) 'I L7 SULID WA�rE rACILtrY <br /> L'NDERGrtoUNDTANK(NUNrTAR1NG0ri�iNOY4L ❑ UJ(rD FACILITY ❑ $C?;J'JL'dA$t'C VEIiSC'_.0 <br /> 1iA A.'yDUUS WAST!`CLNERATOR 1 a KENNEL C DA;RY <br /> T1ERE0 PE;RM17 F_p rAC;UTY 0 CmiCKF-N RAkrfi O FXG TRLATME <br /> - TATTOCtUC)DY pEjRCIPiG C-1MOTLLaNOTEL NT PLAN-r <br /> CD L3 AOOUSPA4 ❑ PUMPER TRUCKPeAKLYCHEfA 7'Cili_E7S <br /> itiECSICAL WASTE 1`AGFLl7Y ❑ LAND USE APPUGATIoN SfrFS <br /> nr18L[C SYATF t 5Y51thti G C:TFiZEK(PI,EAaE SPECIFY ABO -) <br /> 1. List up to tern addresses�in the space above. Select the t e sof files f?an�the.:st above ►. <br /> the aplr:opriate bnx(cs).''At least nnP tilt[ YP ( .� <br /> 1. o eby c„=ch-ir7g <br /> address indiCa.ed abo e: ype iti1UST he SClectzd. fax to103)464-(}13Y qr rndil to the: <br /> 7• : EHD will notify the applicant if any EH0 rites exist. An apNintn. <br /> x}-jprGXi.nately fivrtr business days but no later than tort (Q days aft rQreceip of alpplica'orl confirmT[7e files <br /> ld <br /> accorctillgly. <br /> will be held Ear a aXiniiim of five business days fat review, sZppoifttn7erlts should be scheduled <br /> � . A fife that is aativek been�� <br /> Y g Workeded when <br /> on of le,is staff rrtt�y not tr¢inllrloatately �vaiiafJ[u tc�r review_ A now <br /> aQplicatian may be sufjrnitted wham the file is available. <br /> '+• Any fife not returned in trio sarri<a cc,ndition as rciease€1 will be reorganizect h <br /> Of the app{leant. Future rite reviews by the same applicant may require a$F37.Q0 cleposit Prior to rt vi <br /> S. y!';117]staff at the expense <br /> AF;EicatiOns receiv d aft' dates must be confirmed with L11D staff. <br /> �F+• App[icatiorls receival attar 3:dp pni will be prpcersed the next busirjess Clay, cvir_ <br /> CONFIRMED APPO1NTNENT DATE <br /> -�----� � <br /> DATE QONFVF&I_D TIMETIMETIME <br /> ` - "`---� PHONE FAX JNITIAL <br /> R�YIEirYED . -•-�__ I <br /> REtif1E1+Y [7ATF <br />