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06/19/20OG 09:35 46401,nENVI NT4j- I-LdLTH <br /> &.14&4.1 v v"ra�r ut�� t,+V u!Y 1 x PAGE 01 <br /> � <br /> EMRON E j ° <br /> 3HEALTH DEPAjprmEN.�' <br /> a)4 East Weber Aveuuc,�`�F1arr, Stockto CA 952 <br /> 7c�epl�ome:0209)468-3470 Jrax: pg 46 <br /> L a f� ) -0138 Web, .sjgay.orgrmbd 1� l Q <br /> .ICECO ]S RELEASE ' ICAO1V EfJVIROiv!i'AtfJi H <br /> � pza axr; <br /> RIC 14")R f�N.D0 O <br /> arab ; .C, 3120 N sr�sa�ssrAc�tGv:. �✓�q�a�: ""iii' �. <br /> Tra r � 3 <br /> r114TArry ,,rpt V CIATE; Q <br /> (Rtteam,*km lo&caapi t t d { dais of�ptta�tlOn rs�mtttot. flims: <br /> 7e+ttw�csnly-�u���nCrnmodl - <br /> GIICC.IG 60X 1'0 9XPEDr(E YE0U - FEE(CASK lM CN <br /> SIGNATURE OF MpLICAN-r E C OId!Y1•REWESt'PROD S,SED IN a scS110re DAYS <br /> IDATErILI%�—... <br /> plL�AIDDRESS <br /> 1 S4+e�t# tart(ane C, END USE ONLY <br /> I a I C3 Unft 1 <br /> 3' _ <br /> r c)J ve. 1{'GN d Unfi$ <br /> 5. <br /> �. JeUnit <br /> 7Util� <br /> 9. J <br /> 9. <br /> 0 Unit 5 <br /> 10. <br /> ❑ Unit 6 <br /> RPeelti0 Dab F Aral tat Infvrmaa6gM R64Ue;Stad:prota l Q yo ., » to Derr <br /> EN VIROtlM:NTAL HEALTH DEPARTMENT FILLS <br /> C7 ULxsr;ssG.IMUND TANK(US11)C atom Saye(t.�P) Q HOLISM Ar,"ee:►ar <br /> ()TWA i�_EANW Sr1i UIQJ_OPY OD 0 FOFAGILtTY Sdtlb�I Z:76 FAtA h YIYMiaCI� <br /> I�U�toEgaaau �Attcc(t�faNartatceaacyya p b�K Q wrtivu <br /> VI wA X0 1Mfr.Yrr GMUTOR 13 CHK*1:MI FARM p WK'.1 <br /> �'47 F'r�t+urrW FAcltl7Yrmrdam_ �7 WAS`1l'IA($b�€t ralane:u'C FV.ocrar <br /> C3 TATTY PPM=u O P Li8P a Puklt c Tatu.`�Y�t.Tar ars <br /> 0 I,lerw� WASW FaacnrY C On=(pie �LAKD U5r_MnucAwm 8a€s <br /> t"te.AND S&W PMWkECWW ARE AVAK A9M FOR Rt:MW-U0NDAY4Ftae;aAY t3.'Ot1 Ua*COMJ • Mamma HMMYaa. <br /> 1. List up to tan addresm In Me space abcwe.. Select the types)of flies from the list above by checttittgth® <br /> aPPMOAtO bo-10s). At Wat one file type MAST be eolected. Fax to f2091 0"I py mei(to the addle <br /> k14— <br /> 1b_�� Adder mn9im Will not be aooepted-for additional xssistMeo with file nddresssM cont2d <br /> the E141).Applicationt✓WNW(ved afUW 3:00 pm will be processed the next buslam dad, <br /> 2. The END will notlfy the applicalrt If any END flies exist. An appointment for review wlll be confirmed <br /> aPPrWdmately too(10)clays after reerc;ipt of application. The files will be held for a rnasdmum of five business <br /> days fcr r"ew. Appointmetnts Should be scheduled a=ordingly. <br /> 91 A file that IS at#iv6[y being watkeEd do by E HD staff may not be Immedlately available for review. A(low <br /> afap(lt:a00n may be subtaltted WhOn the file Is available. <br /> 4. Any file rtot wturnod in the same condition aS released will be reorganized by EHD staff at the expense of the <br /> appik auL f=uture file reviews bye the uame applleant may require a$93.00 depovlt pftr to review. <br /> WHO 449 <br /> Milo" <br /> TO :39vd SZ9096860Z 5L905E860Z ZZ:60 908Z/6i/90 <br />