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F W;j <br /> #.ALI W <br /> -SAN J(IQUIN COUNTYPU ' LTH <br /> SLIC HEA S&CES <br /> WWRONMENTAL HFALTH olvISION <br /> 304 F-A,5T WIESER AVENUE,THIRD FLOOR no �5 <br /> $TOCKTON CA%2aZ LU) <br /> (203)463.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION SEP 19 2000 <br /> L <br /> & � I M 1111�11A L�TH <br /> )LkL4,eO"D <br /> !RHONE <br /> FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (NeAsegive 7toio <br /> CHECK Box TO EXPPJ=V REQUEST-SUAO FEE-RE 7 RorES*EO IN 3 BUSINESS DAYS <br /> r-AiNATURE OF APPLICANT.. DATE <br /> r-ILE ADDRESS <br /> THISsIPE-- <br /> c-"JA STAFF UW&ONLY <br /> PROGRAM ELEMONr4 SEAROH <br /> .1- 17 U <br /> qc5 <br /> DD f <br /> .......... <br /> j <br /> ENVIRONMENTA HEALTH DIVISION FILES <br /> W UNDERGROL;ND TAKK(UGT}CLEANUP SL-MjLOP} C3 H0,j$;N,3 ABATEMENT <br /> q'�QTHEK GLV--ANIJP Srfr=(NO144-OP) 0 COLID WASTE FACILITY <br /> ; �S��l NEERGROU]NOTAINK(M0NITO)t1NG/RC-MovALj ❑[3 POM FACILITY 0 SOLE)WASTE VEHICLE- <br /> 8AZARCOLIS WASTE GENERATOR [3 DOG KENNAL 13 DAIRY <br /> 71FRED PER1MfTTF_0 FACJLrjrT 0 CkIJOKEN XANC;jj 13 PKG TREATMENT PLANT <br /> JP TA170GFSODY PEU;tUNC E3 PAPTELIKOTEL J3 PIUMPErt Tkur-WYARX)MHEM <br /> MEDICAL WASTE FACILJTy NN <br /> LAD USE APPLICA710 !�aE TOILETS <br /> PUBLIC WATER 3YOTiffm �S <br /> Lint up to tendc( <br /> arasse:% in r0 athe*paOTHER(PLIA$E SPECIFY AE1t)VP_) <br /> . bove. SejecA thA the 11 t type(soff,I&S frofrom0 S ;,bove by checking <br /> At [cast 000 fila type MUST be;selej�te)d, EAX to L:Q 6 01380 <br /> the appropriate bOX(GS) <br /> ad4t953 indirat d above 9)4 44 Armail _the <br /> F-HD will notify tho applicant if any EHD files exist. <br /> An appointment for review will he confirmed <br /> Innr <br /> QPPrOXIMAtaly five busin-sa days but no later than .14 <br /> ten(10)days after receipt Of Rpplication. Th&files <br /> will be held for a maximum or five business days for revIew. Appointments 000ld be schedulecl <br /> accordingly, <br /> A file that is actively toeing worked on by END Staff tnay not be immediately avai bl f <br /> application may 130 Submitted when the file IS available. a ty ta a or rovi�w, Anew <br /> 41 . Any file not returnad in the same condition as K'014030d will be jr6organized by EHD staff at the expls;e <br /> I Of the applicant, FUFuturefile reviews by the sagne aPPliCant M2)F req ire a$87.00 deposit prior to revierew <br /> L *TENTATIVE appointment dates must be COrifirmed with I;HL1 staff. <br /> Applications received after 3:00 prri will be Prcce=ed the rlvXt businesa day. <br /> �ONFIRMED APPOINTMENT DATE <br /> -T!JWE <br /> ATE CONFIRMED PHON <br /> E PAX. lNrrIALS <br /> I REVIEWED YIrS NO <br /> REVIEW DATE <br /> TDTAL P.01 <br />