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_. -. ... .:.. <br /> TO �+ 170744F,49QC. <br /> SAN J(7 UlN COUNTYPU 31-IC HEALTH Si-RVICL-s <br /> ENVIRONMENTAL HEALTH Df1r ISION /J L <br /> :a04V-AS t'WEBER AVENUE,THIRD FLOOR <br /> vrdGF{TC)N CA y5202 <br /> (209) 465-3420 ,�`J <br /> APP,' <br /> PUSL I.C! RECORDS RELEASE APPLICATION y <br /> C - ; <br /> ICAN T 1 71V IJC� !� (1 L- <br /> 1 •.I/T <br /> BLIS;NESSIAG.ENGY c <br /> ADDRESSCPt <br /> 2 <br /> IC, -4 <br /> �E3`I TA"rI V 1;•ArYOfN rMTrn17 GI0.T1~ <br /> (Plbas�Bi��' to 10:;us�n;;ss rta � TIME <br /> �� // y' frcuii dato alaCgll_a�ian Gubmit:af} <br /> CNECIS I.iC?T:YC!�Yt:L'ITE REQ T-Sb7.6�FEE�1v�1 S ff"3151-4111ESS <br /> CJtaYS <br /> SIGN�,Tt1RE OF AP;-vi-10 N-r <br /> _- - DATE <br /> THIS SIDE'e Ho STAFF USZ 0,'1LY <br /> l PROGRAMt ELEMENTS SEAr�Lh <br /> C4 02 .4P 6) <br /> W - <br /> dF r.3 L J - ►-oi> A <br /> ENVIRONMENTAL HEALTH DWISION FELFS <br /> LJND£RGFtOU140 TANh LUST)CLEANUP Sl7'C(LC JJ) d x4Usitic a>~ArErh[�I, <br /> OTHER GLEANUA.;ITE(NOr7-LOA) a L) SOLID WASTE FACILITY <br /> UnIflMRGROuN©T�aNK("A""i"ORINGIRrMOVAL) b ppG KoNNICL Y <br /> tSOLID <br /> WASTE VEFG1YH�APDOUS lJASTE GENE:RATOI . PA1RY <br /> Fr4 ACILITY n PKG TREATMENT PLAN <br /> TTI R>rD PERM CHICKRURANCIA <br /> TATTOQfHODy PEIRGING M0TE1 JH0rFj. E7 PUMPERTRUCK/YARD/CHEM TOILI�jg <br /> G I$FOIGA.L WASTE PA ILi tY Q PC)000PA >1 LAND USE APPI-4CATIUN SITES <br /> � PUl3LlG'f1ATEFi 5YST8M G pT}iLR(ALERSE SPECIFY A$OV>r) <br /> -l- Lixt Up to ten aCtGr9s5aS in the spa,co abovo. <br /> SGicGt the <br /> tha Fppropriate hox(cri). At leant one file t tYPe(s) of fins fJaiit the fist abdY>r by Checking <br /> addrass irdicated aoovE• type MUST be selected. Fax to 2Q9 �lt;�, ail iia <br /> EEi(J Yv€li notify the applicant if any EHD fi€e4 exist. Ana OEtmer]t far teviewr Wi1J b <br /> approxEmately five busiriass days but no later than tan PD d e ccnfln ed <br /> WiJI be 31eid for a rnaxi.-nuat'Of five bualness days for revia). AE5 Zfte rents u d <br /> t Of Pli stched he files <br /> 40Cordingly. <br /> 3• a fits that is a4tivel bcil•1 ' <br /> Y it ild When <br /> t e E►3x staff]nay not bQ irnrnSttiatcfy avaiJxJyle far review- A nave <br /> �splslJcation fist'be stibmitt¢d wJ7�en the file is avail.al;Ig, <br /> 4• Any file not rattkmod in th*:Game agndition as relvasad will be rpp <br /> OE`the&I:plicant. Ftttiir� filc revi>:Ws by the game applicant may or AIliJre a ci t) -J, �osit <br /> g, Y taff at the cxpensr. <br /> 'TENTA-RVE?-Appointfuent sates Must be corlE€tined wittl EiJD :,taff. N Prior to review. <br /> 6 + AJ�piic;dtlons received after�:oo prr,will be PrOCessed the next bttSines$ day, <br /> CONFIRMED A?R03 iTMENT DATr <br /> TIME✓ <br /> DATE CONFIRMED <br /> Rl`vJEWEtj — <br /> PHr]NE. FAX INITIALS <br /> NO <br /> YES --'—'�— <br /> REVIEW 1)A7rE <br /> TOrpo. l'.til <br />