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usar.��.�wu <br /> RECEIVED <br /> REE. E NF�0 FEB 16 7017SAN Jay-, mm' 'OL TP F-HD LOG Nu k <br /> "ENVlRONMENTAf,HEAI✓TH DEPARTMENT <br /> €"MOINMENTAL 1.868 East:Hazahm Ave'6ue, t ten, GA 1-520W432 <br /> "7 <br /> PEi MFUSI W"O' (2t39)455-3420 Fax-,(209)454-iii 38 Vftb:mm.sigov,orglsll.d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> kp ANT: P� ' �' �., �e 8LJt1NESstA0I"NGY'• C 3 R �=__ <br /> k1.DRIF tS: l i.f 11,i,. A,^4 t,: Av e-�Yt 'QTrY1STAT Ip: Fr _i1_41 C.A CT 3-74g <br /> SHONE(1): S>`i ' _ t>6 77 PHONE(2:): FAX OR E-MAIL- �! r*� .� -s>. .ic•� <br /> Please al10W 10 business dayt from date of Wicejen submMal forthe records to be avallabie. <br /> Staff will t*ntact you to armnge an appointment date and:tine to:envier the requested coeords. <br /> Elb#iECKBMX TO EXPEDITE REQIUEST- ICASH OR CHECK 0* Y%,RE LQV ST PRC;C. SSED!N.3 EUSINE�s LAYS <br /> aIGNATLME OF APP: ��-" — DATE _ <br /> 1. list up tp ten addrat2Iaa in the space below— Select the type(z)of files from the fist belt by chocki"the appropriate <br /> hox(es)_ At leas-cane file type MU$T h4 selectett: 9 464 138'or mail.fie the atftl ss.irsdicafgd neve Address <br /> ranges wHI not be ai�ceptad,ApNievti oaadved after-3"GO R il k G, S' '6:4��cR i r; ti day. <br /> 2. for assistance in identifying the nature and content.of EHD records, please contact EHDat the number noted abpvrr. <br /> 3, The FHD win r4o ify the applizarAl if any END files:"st An appoifitme f fear saviiw wiM be cor+_iflmwd ap-r"IniatWy#ext(10) <br /> d�r$s rr�s:e��Fa;.�l"s�aiFa�': The•: vm�t!�r'b�f�,ra, t�zrri•of•,f •��sstn$.�dst �"�w�:A�} �rits <br /> should be scheduled acoardingly. <br /> 4. Any file not returned in the same condition as released-will be reorganized byEH..0 staff at the expense of the applicant. <br /> Fvfwa Mg Mktle"by theoM. 8ppIl.'r .ntmay 1'£CM3.re a$130. eposit Prier to revie tr- <br /> WELL AND SEPTIC PE13MIT RECORDS ARE AVAILABLE FOR RE`dIEW; hIONDAY•FRIDAY 8,00 AM-5.00PM(EXCLUDING 14OL(DAYS) <br /> lir € lrtFcsrrnafic� s List 0 Map--Desmiption <br /> SWIfic Date Range of lttformatlon R.equeeted. From 4?f. fca A"--;k_1 i e_ <br /> ENVIRONMIEE:NTA:L 1e 3 <br /> W_M_- MFARM E f.ff ME ADDRESS <br /> FILES EH❑ USE ONLY <br /> '.,'�Etiti�•air��Anr�.:;;k.��t2 :�tr�til t- ,SBre�at3darne .. `�it� <br /> •v1wN Se:`ti{L6P] <br /> /CT:?Ei3{.CAwiF Si.7C(No,. 7 L O .. !7AD <br /> r3 A)� LL✓ / - <br /> ' f?7.9ARriiz�s +AIAI;TF <br /> T J3.D S'WAfTTEC7,`AC:L!?Y 3 <br /> T <br /> ( �i'py; r t yf ! L+ l�'v rW <br /> U 1�1..1f; 117} t Y1 l•. �j -fySof/( ! 1 <br /> YA-DWCRPUND'TANK <br /> y 1�S7 WbN90 SING FGi+ttWAILS. <br /> Y�ilAZARnoirs MArERA S <br /> �S�sL£1R�t l�Fs�,i�stx7�s6 <br /> WA RR Q'JALtrr <br /> ' 1 f ,q • / <br /> r.,—ACr:-jrC Si ut r' (:7 L'Y �yiYa'r"�° c'L� r� r•7 Y I I,/ <br /> P'.7C3f./SPA. I .7i?�.^x'� IqC i= ."✓'f'u%' yr Ui=�� SITE k.41T1GAI7dk <br /> IV D <br /> LAND WVA.FPLCA,QN <br /> SEPTIC Pumpo?TRUCKl ¢ ~ • � �.! ( �linvarxc' <br /> `ilakt�'f-��Enxi4Ai o:jl'tei <br /> 15044 11 W A vv <br /> WASt_EWAjLM' TREA.-MEN7 P:AAFI. c - �,,•{ n OUPA . <br /> F1i�,tclNaARw�uE�T F � UJ f 1_ <br /> Tmbtt: I=17 <br /> I CN.iGkEN-W'.14 C•n 1 FROG KENNEL � C-JPA- - ., <br /> 8 <br /> 1 WASTR TfRE Q SCV.DWAGTE. <br /> Its <br /> l 's <br /> pOy�^I1 EM <br /> �y WS <br /> ��nt C <br /> M ,rte �'u�.��! <br /> •f G! �3 ` <br /> Cords provided by Staff:.PPR Complete. SIAH N <br /> p• cceived Time—Fe05. -2017 ' 6 : 08M—N0, 0843 <br />