Laserfiche WebLink
FROM : ur>S��-.� i�� �Y ��3��J PHCNC A ���_�_� � 1: user � r <br />..NVIRONNIlrWAL HEAL_TN mvimi4 INOV 14 2000 �.s En,sz =CVn= CA 95a��O17305 <br />PFRc_ <br />(=!I) 469,U= <br />HEALTH PUBLIC RF-rORD5 <br />RELEASEE APPLICfi►71ON_- - - <br />A" Lic"� <br />aaas ss '� nl . i-� UG T-0 i1i L -A -t,.3 e <br />F'Houa .�-!c I F la Z-D,q - Gi -- 4-x.28 Off, <br />TF.WATrie avf'as.:rriaarrr mA e ! oto'; ►, �- t�^7r �n7 _ <br />(mane Wvs 7 is t0 t'Wa-4 "tun CMet apVia;W* W*mmml T!-7- � <br />Q CHECK eox pro wI pm 1rm RLS =3T - ST al 3 sulaim CAYI; <br />SI MATURE OF AFPUCAKT DATE -R- <br />� <br />'1--7 <br />t]LIROUMTAUKmn="--AJPUMt6} <br />Q Fit]i1.' MABA'>r8i M <br />M SOLO WAXM>aAGWYT <br />t7C'e#R Ci�Ai�uR e[rL � <br />TaraK <br />II t'O>'>Y Fl1C3t.S3"l <br />d D=q <br />Q SD:.[LZ �E VENf6Lfi <br />r�Y <br />O <br />tsuat vrAtfacII�T= <br />m c omapitbamt <br />M wca't'�t�Ti=TPLAW <br />a � FA=r7y <br />a � <br />a t�zs <br />O <br />m TA.Tta PWJWM <br />M POOUWA <br />a U MaMAaPLCATMQT2-S <br />d =1ZALV"WMFAC=Ty <br />Q Puwmwx'rE3tSYSTEM <br />0 QTWM (MJEM S°-WVAB= <br />1. List up to teat =drv"" In flea swe above. 31st t the tyl*s) of 11h a tram UW list above by rtg W <br />the appmpaiaft bc*c3j_ At least ovA fas iypa MUST be soWVtmL Fern to (2031464-0138 or mail 1h tht <br />t <br />Z. <br />SHO wtil n*Wy "app:Icant it any &jW filo* wdst. An appatntmmnt for ruviu *M ba tcnfamed <br />zppm=hA ttety flim buxJnan t3ayr. but no later Doan tan (1R) days &a racciptzf appiimtlM The 12" <br />wiU baa haid for a rrraxbnurn of RYR trlrsutars mays for raylww. Appairttmw to stmtald be zr-hedulad <br />a=orcUnaly. <br />& J0. flle tut is =tWaly being work" on by EMU ststf may not tm immaciatrtly avaitab% for review. A now <br />apptk=tfart rru[y bo subft%ittttd Wtum the file is atntistaly. <br />4. Any fan not returned In the s=a condWon &a hlvasaei will h& rsargant= by EtID %VW at ttte axle <br />of the I Future file mvievm by the asan'tt: appticam =4y rttquim a S7ELM deptait prior to mvinw. <br />S. 'TENTATM apPcdnmv%tt d2tea must ba ccral rnad with EMO silt, <br />G. Appiicadwa rmmtvrttd afttu =a prat will bo proceas td the naxs'buainnns day. <br />CONFIRMED APPOINWaff DATE TWE <br />DACE COURRM= — PHONE FAX lAimALS <br />REV[EYVEn YES Na Rt -W127 W DATi= I <br />r. <br />---VON* <br />— <br />CONREVED <br />NOV 15 20on <br />