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1,11-" Env i rcrancrit-3.iPHU HE 1,,ILj. : 209 422J 0 11,(T. i,--' -Aj-ji F-- <br /> SAPICAQUIN r-UUNTypUijjjC HEALTR SER7,11CFS <br /> ENVIRONMEWAL HEALTH DIVISION <br /> 3114 EASTYfEWiR AVUjUr TjjMU MMOV <br /> PUBLIC RECOM3 FZEI.FASF AppUr <br /> _ATI()N <br /> S,3, Y;4- nUa1Nzz&U4E= A-6scc <br /> WD L)� I I'D I-A-t,3 P- 4 <br /> PKGNr4 'Sip 61 — �5 <br /> "U—"days n=dAft M Appavawm <br /> 1 17 <br /> tsa <br /> -- <br /> CURCK BOX TO E3�PMDME REQUEST IT&Ola <br /> SWOM2 DAYS <br /> SIGHATUFM OF AFFUCANT <br /> DATE <br /> E7AC--;VN R-7 V' S -7 <br /> -7 -ri Lf�L-=Po:e'� -��Kj, Cr <br /> t57 the <br /> -7 <br /> 9Sn.E n S Ca 10 w b �� 35a(. �_ <br /> Dol <br /> (7 W �4�El-R, <br /> Arl.'Cf-WA6LV <br /> taiVIRONUEMAL NF-AL7nj QjVLSjCjrj RLES + <br /> UNU-MROUND TANX tWM CLEANW MM{LCP} IM %QUaM ARAMW <br /> C1 FO=PACZM C SOLM WASM FAaUTY <br /> UUUZRGRMM TANK VWwrr0a1NWRM0VA4 M ppm 10,xialM 13 a=.QWAWEVZtrAZ <br /> B OAW <br /> CWC$MH RAWH M PK43 TYWATMEW PUNT <br /> it TLEArn EeRMUT=TAcaX.-c C, marewarEL 13 PUWJ4MTnCXNA=1CHEUTM-=- <br /> 'rAT=ra=pw4cma M FOC UMA M L^,#WUaEK-Kr-Anon&= <br /> U=C-kLWMTEFAC=Y M PLMUCWA1-U,-SY5Tw U orcm ptr-A=spy-cwy mom <br /> 1. LJ*t up to tm nciara"as fn the spaco above. SeWwt the typc(z�of lam tram ilia 11st above by cliacking <br /> Uwzppr*Wiwxt;ux(pzj. <br /> 2 a ea M notify the awacarAff any MiD fU43 exist An appoint nnat far rgviww will ba ccnfumod <br /> apprc� flv*bus'nQ=d3yv-but ng i2W than tan(10) daya after rocciptial application. The flies <br /> will be ha'W lex in maxim=Of I-Lvu bu=wzz days for raWow. Appaintmerts should b0!%chdujtd <br /> mUnGly. i <br /> 3. A fU that Is m=tlw4y balng worked on by EHU at&"may not ba kmadiately awz1h a for rawinw. A new <br /> &pPilmllon rosy be submitted whwn the film 1%zVa4W8, <br /> 4. Any Me clot ranzTted in the same cjmdjUM es rojeaso.d wal has rucrganLzmd by UM tt-4ff at tha expimse <br /> of that applicw1to FUUU-4 fia reviews by U-M Sam AMU==May require a$n.00 46pozRprior to reytwN. <br /> 5. -rEWAMVE 217*Wntm"t dZU71 MUst be c0rdimiad with EHD SUIT. <br /> A=f 1"flons remiyad mftar 3=pm will t3*PMcQ5zffd Ua next husinnaz awy. <br /> FIRMED APPOWTMeIT DATE TUAE <br /> I i PHME FAX INMALS <br /> YES NOREV[h-1v t]ATI-= <br />