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04/19/2007 11:40 8313351503 <br />31 <br />MARGO MACKEY PAGE 01 <br />EHVIROh4HENT�%L He H F4Ut 01 <br />tmv LVv <br />j9EtiERECEIVEL� "',k JOAQ IN COUNT( <br />i <br />1,?�X-l.l`+ON6T ENTAL HEALTH DIwl .`7�.Jf��1�'�F.' 1.\ A <br />,., <br />3p4 E Weber Ave 3r4 Floor StorktO CA Xquln <br />570�ZM <br />C,1 <br />(�D9) 4�42� Ia ax; (2t)9)464-01 38 Web: ,v„w,w.co san•jaauan.ca.us/e460420 <br />UBL IC RECORDS RELEASE APPLICATION <br />Y � f f,e— <br />t` 4 <br />f' APPLIOANT; I r , Ou¢INES$IAGIa. G <br />�w1, <br />mss _ X35` 466 <br />TWw <br />TIE NTATI` E" APPOtN1TMENT DATFa — • - "-.._ <br />It„a��ss�e alltlyr 19 business days Ram dnt� of apPllcstlon au13m{ttatt) <br />BUSINESS DAYS <br />CHEEK BOX TO EX{ FDt M ft19OUPET ^ s93.0o FEE - Rl�UtxaT PaC SS t) <br />IN 9 4944 L t"l rp <br />DATE�- <br />SIGNATURE OF Appud'Aw 1 peps rtmont usr Ogva <br />C,[ ❑ unit 1 <br />Unit 2 <br />- �...._... /l �� Unit 3 <br />Urs(! 4 <br />Unit 5 <br />E tivtRONMENTAL HEALTH DEPARTMENT FILES Y <br />W SOLID WASTE r-AC{LITY <br />W UNVERgrta�uN{a TANK IuST'i G�FAttUF' SITE (i caP) 0 FOOD EAG+C1 IjOV3114G U� MINT a SOLIC) WASTC VFHICLE <br />OTMG�R CUTAHUP 91iE atQ”-L OTt� n poet KENNEL � PX TRFr4TMi"NT PLANT <br />DXRY <br />UNv t�t'I+a 7ANtC t7HR1AT0s� ri ftitt eia�rA{.) tailGxEN RMCH � pVMI," TRtaCK4fYAJR01r IEM TOiLrTS <br />HAZARDOUS WASTE G O MoTELiHOTEL <br />TIERED PEttMrMMf1 F iLq"w M MOL/'SPA ;I LAND USE APPLJCATtON BriTs <br />TATTOO 000 plEftClt9 OTHER (PLEASE $PECl►Y) — — <br />-'1 MEDICAL WASTE FAGti 1 rf <br />I. list up to teI addreassai6$ in the epee* above. Seloat the type(s) at (Iles from the list .abort by CheCkla7$; <br />the App(opr 2tO box("). At JeRSA onp file type MUST be selected. !"meq (Z��l 464 Q1 Gr ma 1 to hfi <br />r i",� <br />intment for review w1II be confirmed <br />2. Etio will no im ` it any END , 19SIst r th& An appoOf <br />sAPpraxirttaat iw days but <br />no, latar than ter( {9Dj days *#tntmentsshauld�ba stcheduled�iies <br />will be held leaf 8 rrr irttum serf five businass days for review. Appo <br />acCCrdingl�. <br />g, A Hist that t4 aCdtveiy being worked on by ANO Staff stay not tee ImmRdial+r«IX avaiisbie for review. Anew <br />applleet1Qr.,M*y 0 fmbMItted when the file is avall3ble. <br />4_ � reWrned In the (sire condition as relt+2ssed velli ba reorganized by LTi 5tatf $t teat' tl review. p <br />Any file n0 <br />of the xppii nt- Futum fila reviews by the Sartre appliCAnt rosy require 1, $93,00 daipaslt prior to eview• <br />5_ 'T ENcatior r(cejv4*tr ;jft dates must be confirmed with MHD staff. <br />will be processdIthe next b sintSs daY, <br />8. l4ppticatio s.recesiv+pct atte+i 3.� pm <br />w .___ TIME ��� <br />CONFIRMED AP® N rmv� Dos . <br />P�i4t�i~ FAX <br />DATE CONFIRMED I <br />REVIEWED Yes NO REVIEW DATE <br />rrwseay �� <br />� �rn <br />N <br />ee <br />