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__Ra9M ENVi, RQNMENTAL SCIENCE SERV !''= IPiC (THU)MAY 8 2003 11:1s/3T.11:[9;410.634i5421 <br />AA "....r wliv wURt trUOLA: tttALTH SFRVIC7E� <br />MAY -0 8 2003 ENVIRONMENTAL HEALTH DIVISION <br />so4 EAST WEBER ST TON CA � FLOOR <br />ErJVRik11T/SE r;I�ES CM4esa4" FAX(z,01)+(4-013IF <br />FER!-llT/SERVICES pUgUC RECORDS RELEASE APPLICAnaiV <br />C /fr; s // y �'—~--- <br />AFiMJf.ANi %or 2 Bvttuisefa9ERcn Gh ✓mon .L� ,;.:fin � 5 <br />ADDM$ (�. O . ( 0'2 LEO(" CA 9 S-2 y% - <br />FfItRf6 333�(,/S'7 FACMIME <br />TWATRVAPPO MMI MDATE -5"i •03 - 5 -is -03C3 —) <br />ry/_ / ryHsss, eiw 7 ro TWIF <br />10 bin6le,a dry" horn dile a .Ppucatioa iltrM�tY i • <br />'•'� CMECR [IWC TO is EOIT[ RfiraUgT-pll,eo iEE { gjpyT ?RCRM� iN 7 BUSINESH DAYS Lalist <br />SIGNATURE OF APPLICANT _ LiATE _ _ -i,— d - <br />ARTY', <br />n n e a A• �� <br />iNuilRrAwiuemawr <br />�/ ENVIRONMENTAL HEADr <br />VISION DSION FILES <br />a TANK ill" CLEMUF*M aMP) 0 WKIMIaMAaATtIlOff 0 8Ctiowlia'IEFVr:ILrTII <br />r wot�+.ovl a FapPFAQUTY a sctmwrurrswancxn <br />YMREitGRWnOT= 411,110WORNwcpIgVALI 0 DOOfIteaEL a c/aRY <br />O NAXNW0U3 wAaW Q"dFRA?*t o CMMKK r nNlcri 0 "G IntrATIlrJM PLAUr <br />0 TEM PERMUrIVD FACARY o IrOTRAIQP!>_ ❑ PUMPER TRI�Ir/YAFtlOd1:N'EM'Fq�E7p <br />a TATTOOIepDY!'f!tTrr�re O •OCRAPA Cf LAm usn APr ut ATierf rumft <br />0 MEDICAL. WASTI FACILITY 0 PUBLIC WATER syli a CrTNaR FILeASE t MCRT ABOM <br />1. Lht rip to teem Addrewfea in li *pop.Mane Swect the "a) of flies from line list ilbmm Iry checking <br />the approprisda bex(ns)• At Ieast one Ills, typo 1i be selected -Fax bt ��: �{I a�a�l to It <br />Address Indtcabd *brMy <br />2. EHO VAIi`FtoNfy the xi inapt If"END files wd, Lt AnarppoinUrtem for :nevlrlr 1nitlRI r r.041rmed <br />aPPreximbWY flim business d*ys hot oo lwbw th m ten (10) days after mcatpl of oppi Icett4p% The ri119 <br />will be held for a maximum of five business days. for review- Appolnirmytts should ii W.11,utlulwd <br />accordingly. <br />3. A file that Is acnvety being wortrad on by Eli s:hMf may not be immedia^ply ava"Inb11 for revlew. A now <br />applleaflen may be Submitted when t" His is avnllable. <br />4. Any file not returned In the same condition as reiaaa el will be rearganised b;r CMO n lafr at the expense <br />of the applicant Future file reviews by the soma applicant may require :L $89.00 dsp r311 prior to review. <br />5. `TENTATIVE appointment dates must be confirmed with CHO staff. <br />fi Applications received after 7:00 pm will be Processed the next business day. san% 11 <br />CONFIRMED Appourr eNT DATE. _ TmE <br />DATE CONFIRMED CONFIRMED _ ?"00fe FAX INrIU Lis <br />REVIEYVED YES No REVIEW DATE <br />., toad(. Fax ru"w1 Telt <br />v <br />;t- T 3113 OY? %04 - o} <br />Uzi <br />