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�,�,.�_ i, •.� �ogw�� LnViKVIt(Ii. NC, EWIRON ENTAL HEALTH NO. P.2W 82 <br /> *,roue Kw ar,a <br /> S�JOAQUIN COUNTYPUBLiC HEAL SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION 304 FAST WEBER AVENUE,THIP!(?FLOOk REC <br /> Lv1 <br /> SMKTON CA 95;103(209)4"20 <br /> 5;103 , <br /> PUBLtC RECORDS R LSE gpp1,jCATi AUG 1 8 2002 <br /> APPLLCART �G V1 I. rrSI eusti+g9s/AVBNL:Y T/SERV'ICES <br /> PHONE.�11(d SS 1,017 q FAd MM 1-CQ <br /> TENTATNi~AppagnmW OATI TwQ <br /> (P1S Aka Gran of epplleau"subalmq <br /> XCHWK BOX TO E94MrrE REQUpT-V&ae M— SED IN 9 BUSIN133 DAYS <br /> SIGNATURE OF APPUC DATE 441 <br /> FILE ADOMS T"0210111111HOSTAMUMOMY <br /> PROGRAM!LalRTa SBARM <br /> / '>t <br /> AIA <br /> otgn UJ -5.4- <br /> �757 <br /> Lh ! <br /> r4 <br /> I ra S0"d- <br /> E01RONMENTAL HEALTH DIVISION FILES . <br /> jeum Rc ma TANK(t n Gl.6A4m srm(Lop) a Hcmwe ABATEMENT M soLJD WASTE FACiL,l7Y <br /> o OT=CLEANUP sma(t40*Lop) 13 FOOD FA ITY o Saud WAM VEHICLE <br /> CI 1ANWIROROUM TANK PIOWORLNGAt1:MOVAL) La DW 901M L. O DAIRY <br /> WARMS WASTE IM AIKRATOR O CHIM M RANCH G PICO TREATMiM PLANT <br /> o TIEMM MURIT ED 1<AOIL" 0 MOTU MOTEL 0 ru11 m 71Ruc3trTARDfClIt11 Toq.ETs - <br /> a TATTOOAopY relke G La POOLAPA O LAND USE APrLiCAT1QN lR6s <br /> O UNCAL WASTIZ FACi1 M O PVOL.IC WATER SYSTEM O OTHER(PLEMO SPQCIPYABOM <br /> 1. List up!o ten addresses in the space above. Select the"is) of flies from the list above by c6ekbty <br /> the appropriate box(es). At least one file type MUST be selected. Fax to t20934M4 338 gr mail the <br /> +gess indigod Abbye. , , <br /> 2. END will n60fy.the Applicant if any EHD flies exist. An appointment for review will be confirmed - <br /> zpprOXimately five bness days but no later than ten(10)days after receipt of Application. The files <br /> will be hold for a mmcimum of five business days for review. Appointments should be scheduled <br /> 3. Aflf1io thatds aedveWbbina worked on by EMD staff may not be Immediately available for review. A new <br /> application may be submitted when the We Is available. <br /> 4. Any fila not returned in the same condition as released will be mor+eanlxed by END staff at the expense <br /> of the applicant Futute file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. `TENTATIVE appointment d4 es must be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOIN mew DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO Rona*,DACE '"` <br />