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1u <br /> }, Wt)tu4 Ni1y4i,tiH i <br /> z _ <br /> SA1+,E ,. Qu1N COUNTYPUSLIC HEALTH ;VICES <br /> ZNVIROkMENTAL HEALTH D1ViSION <br /> U E— <br /> 304 KAST.YVEBER AVENUE,THIFW FLOOR <br /> MAR 1 9 Z0�1 sfocicTOi�l CA 9520.7 <br /> (209)468,U20 <br /> PUBLIC RECORDS REL2ASE APPLICA-nON <br /> iAPFLiGr4` USItlE551ACt1:CY Q <br /> qQ <br /> PHONE ���i' l��r��FACSiPtflE �� r 1 <br /> T $-e <br /> TI NTATiYE"AF :61RTmv-N'r oATR <br /> (please 511ve 7 to 10 business dAYA from Bats t)(applicauon lased 1) <br /> ChEGK 60X TO EXFEDZ7'Z PX-Q .oQ I;M--R£ ST PEtCPCESsED IN 3 SUSiNE6$DAYS <br /> SJUNATURE OF APPLK-,,1*-r <br /> i <br /> i <br /> F1tI AODRE5 SS Sfi}Er�FiD$T I- I <br /> eROGRAM ELEPARN T5 59ARCf1 <br /> ENVIRONM Tt�HIRAI~Trl DIVISION FILES . <br /> yM ZOOD WASTE FACILITY <br /> lot (Ip{pERt,FZOUND TANK(US-0 L>:AtiLIP siT£(t OP) C'J FOt)bi3i6 A6ATERdi<ir C ❑ $OL]D WASTE VIiHIGLE <br /> OTHER 4 1. . Amup STTE(A14A1-L.OP) 0FOQD PAGLSIY <br /> iffidflWWP.QUND TANY. M 1?OG KEt3NEL, 0 12AIRY <br /> D CNi0tCXN RANCH 13 PKG YR€ PL <br /> ATMEKT ANT � <br /> KA ARIXAM WA.sT9 GENE 4TOR 0 pUMpF-9 TRUOMARDlGlIFA TOILETS <br /> ? Tll:J ED pEFthliTCEO SACK-1TY 0 liEQit RJ3iC?TEL <br /> U TATI Odil36DY Fc7RG1t�G, + PAflt1SPA , , 0 LAND USE APAl.IGATION SITES <br /> g TATrC01 i0Dy FpC4t4Gi: i0 PUBUG NEATERSYSTEM Q oTHER ll'l."AE SPECIFY ABOVE) <br /> Z. L IV.up to ten 4Adfasws In the.space above. Select the type($) of files from WO list above by GheCKln0 <br /> th*tppropriate b4x(Ba). At lezStIOne fila type MUST be salectW. "M to(M14 § LMS1l to th <br /> 2. EHD will notify the applicant if any F"D files rxist. An appoirrtment for reviGwr will he confirmed i <br /> approximately five business days but no la[ar than ten (90)days after mce�ipit otappIloaxlon. The }lies <br /> Will be held for a M;UXfmltrn of fcva business days for riOVIIM Appoirllmsnts should ba scheduled i <br /> aC-cordingiy- <br /> 3. A file S.hst is actdvaly being worked an #y EH13 staff may not he irnrngdlately aVATULble for rkvlr-w, Anew <br /> application may be submitted wlisrii the ftle Is avallable. <br /> 41 Any fila nat relur od+in the samol candttiori a4 relonsed Will be reorgvAtEed by CHH staff tat the occponse <br /> of the appiic�5t. Futiure Elia reViitws by the same applicant may requtre a$87.00 doposit prior to roview. <br /> S. `TENTATIVE appointment daUz rtlust be ccn.jkmed with EHC staff <br /> 0, Applications recelved aftwr 3:00 pm will be processed the next businas$day. <br /> -TIME <br /> CONFIRMED At?POIi�Tiill> N'£ >�A'TIW <br /> RATS CONFIRMED PkioNar FAX IrrI7IALS <br /> REVIEWED YES NO REVIEW DATF, <br /> 4a,f oaarroo <br /> 7CtLfL P.431 <br /> I <br />