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,ed Feb-E2-01 08.49ani from CCITT 63 P i ERs Env inen tD i P,a9c t <br /> Q121_-02-2001.06'5egm t=R 10 040S53;eL294 P.01 <br /> .-nlUWVt Q <br /> �1 SAID JOAQUIN GOLINTYPUBUC HEALTH SERVICES Liu 44UXI�NUUIi <br /> (� 3,,4 EAST WEBER AVENUE,THIRD FLOOR ?� <br /> STOCKTON GA=02 <br /> (209)4SO-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AP�LacAr,� 'r. <br /> DOMAT BLJSIN? rA CxcY <br /> FAQUIMILE <br /> TEN-TATIVE'AP-OINThSEN-T BAT. 5' -IQ 'FJ'J'5- M-1.5 T � _ .fig 91i w <br /> 'F"Cr V fiiJQ rte 10 bG4raas da(q ff04M dale 0TappLlCalLC1)71tiTmitall) <br /> ` . <br /> a T <br /> C}iQC1C k4x;O CXPEi7,f�nE4.11;5T`$ V ST PRUCESSEQ tN 21avaINE58 DAYS <br /> SIGNATURE OEAPP LIGANr MATE <br /> F;"A00R.15S TH 4 SJDF END STAFF[JBL oWLY <br /> PROGRAM LIt._ELWENTZ SEARCH <br /> c�R I <br /> 10 1�AI Ai' '1 ClyJ4 �� <br /> co <br /> a'WRONMf NTAL HEALTH DIVISJOJy FILLS <br /> UNp£){C,R4U"ip TANK[UST)CLEARt;P 53Tc(LOP) 0 1[OU3LNa AOAT6MEN7 ❑ 30L11)WASU FAMLt1'Y <br /> P/OQiEFI CLEAXUP SiT'E{NON-LOPJ w? FOOD FAULIT`( 0 SOUR WASTE VEH.C.LE <br /> C' UNDFIRGROLND TANK(MOyiTORt14GfREFRdVAL) :1 DOQ KUiNEL C 1WRY <br /> �HAZAOOU91YA2TEOE;NLiiATOR C CH;CKEHRANCH ❑ PKQ TREATMENT PLANT <br /> M T,EU0 f'?RfnrMD FRG,'LITY 0 MOTEL1H177EL 0 PumpcRTRUCKNARDICI{FN TOLL-;3 <br /> © TA7rcomooy PGiRCiHG ❑ Pd4LISPA - M L A%U VSE APPLICATION WES <br /> hle:)iCALViA7.7E FPtcIL1i r O PUBt.IC WATER SYSTEM C OTHER IPLeA 41SPLrCiF1'At30"r <br /> 1• Lks;up to ton addreaaes in the space abovq, SQI,eCt thg tyPa(s) of fltw from the JISt abova by chcdkJng <br /> :ha npProprIate box(es). At ieastgne file type MWiT ba salvciacL FM tp (gP99•484-0138 cr maif to the <br /> n I . <br /> 2. AHD will notay the applicant If any EHO files eAs t. An appotntmant for review rrilJ be confirmed <br /> aPPrQximatefy flvc business days but no tater than ten{10)days after recaiPt of appllcation. The files <br /> vr.IJ by held for a masdm;.LJ j of Siva buslneSZ clays for review. Appointments should be 6ctsaduI1;d <br /> accortifngly, <br /> 3. A fila Mat is zotiVQiY being worked ort by EHO staff May not be immecitatOly ay.MJnble for r&view. A nww <br /> appRenVon may b$subniittod when th6 We is avaflabie. <br /> a, Any tifh no;rvtumad in the same Corld:tjort 44 released wifl b4 raargantxed by EHD Staff at the 4xpcnse <br /> Of thg Upplfcant. Fvt�ro Me reviews by tl14 raMID Dpi?lICAnt may require a$87.00 dvposJt prior to roView, <br /> b- ""TENTATIVE appointment dares must be conftrmad with EHO staff- <br /> Q- App;ltations ratelved after 340 Pm will bo pr4C0580d thO next business day. <br /> CONFIRMED APPOINTMENT I)A7E 'TIME <br /> f3fi.i E CONF�MED PHONE FAX lAJJ i Wt„S <br /> YDS VII=w D <br /> u orror,s alp JZEATS <br /> 712-Fd., F5,0. <br />