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u�SEP.25.200211;12:46PfP646:RR(' DIS GERRGHTY&MILLER/JSFTRONMENTAL LTH NO.277 P.1/1• 02 <br /> wnasmvm <br /> SAN AQUI COUNTYPUBLIC HEALTH SERVICE 07, <br /> N NMENTAL HEALTH DIVISION <br /> 01 ? WEBER AVENUE,THI R — <br /> OD Bios isaCA aiozoz1PI ��V C,C�) <br /> PUBLIC RECORDS RELEASE APPLICATION 2002 <br /> APPLICANT AOA-- 1/05ca •l+— BusINESSIAGENCY �R-C.dd944_�IS F-NnnRnr` MFNT yF.A H <br /> AgDRr ss /0576 iTk PERMIT/SERVICES <br /> PHONE�sl�) 233-32�e� PACSWAILE233 - 32a�L <br /> TENTATIVEI.APPOINTMENT DATE116h <br /> �O TWE ) <br /> (Pisco gHe 7 �s�t ��Ileaaon submiaaqfes' CHECK DDx TT)E7tPEDITE REQUEST- QUFST PRO E EDI ]BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE q 1 12,C— p y,_ <br /> FILE ADDRESS THIS SIDE EHD STAFF Use ONLY <br /> PROGRMA ELEMENTS SEARCH <br /> d LI <br /> ✓2 t. Ll <br /> 1 g Li LL to <br /> O k u p <br /> t <br /> u <br /> NVIRONMENTAL HEALTH DIVISION FILES <br /> d UNPF7HGROUNO TANK(UST)CLEANUP SITE(LOP) O HOUSING AOATEMFNT O SOLID WASTE FAGIUTY <br /> p�TfIER CLEANUP SITE(NON•LOP) M POOP FACIUTY Cl SOLID WASTE VENIC(.E <br /> LY UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOO KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR 4 CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY O W YMUNOTEL O PUNPERYRUCKIYARD/CHEM TOkLETS <br /> ❑ TATTOOIRODY PEIRCING P POOLISPA O LAND USE APPLICATION SrrEs <br /> 1] MEDICAL WASTE FAcIUTY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY AIROM <br /> 1. List up to tan addresses In the space above. Select the typa(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (2091464.0138 or Mail to#o <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD flies exist: An appointment for review will be Confirmed <br /> approximately five business days but no later than ten (10)days after receipt of application. The fifes <br /> will be hold for a maximum of five business days for review._Appointments should be schedulad <br /> accordingly, <br /> 3. A file that Is actively being worked on by EHD staff may not be Immadiately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not retumad In the same condition as released will be reorganized by EHD staff at the expense <br /> of tho applicant. Future fife reviews by the some applicant may require a$89.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6 Applications received after 3:DO pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> -.T <br /> DATE CONFIRMED PHONE FAX' INITIALS <br /> i <br /> REVIEWED YES NO REVIEW DATE <br /> rr � <br />