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�'�" - 1-03 �11a:41an From-ENVIRON EI.ERY111E 5106559517 T-561 P.02/02 F-59t <br /> � � �!/� JOAQLI COUNTYPUBILIC HEALTH SERs <br /> R"RONMENTAI- HEALTH DIVISION <br /> MAR 2 1 2003 U4 RAST WOO AVENUE,THIRD FLOOR <br /> $=KTON CA OUO2 <br /> ENVIRONMENT H P"408-3420 <br /> pERM1146 RV SIC RECORCI$ RELEASE APPLICATION <br /> PPLil:mT Agnf. . �,� . . 6l li/M3ENCY, NYI <br /> ytiiltL�-r�°A6a?, <br /> tloilE f tQ� C�5� keo # FANNU ($10) 655;t$5 I M _ <br /> TENTATIVE`^PPOINTMW DATE PI&W CAII 2--ld TIME 3 <br /> OnMe 9*0 T to 14 bwhwts OVIA from date of application <br /> 210 1wcK MW yo EXpEr3rrF REQUEST-$89.00 ME-mQUEST PROCESSED IN 3 BUSINEU DAYS LO <br /> a i <br /> iltiNATURE OF APPLICANT _� —. ID,ATE-An A4 <br /> F11.5 ADRR S Ox 5 hI CA T PROMW <br /> EL.AYrE.Pirt3 <br /> r Li <br /> r ` <br /> 652,656 F <br /> --- <br /> s ►o <br /> ENIIiRONMEWAL HEALTH DIVISION FILES <br /> 1a.UMdlMMMG TANK (Ugn C1..WW srM(COPi C7 IIOUSW � <br /> c9/ ATFMENT []13 WW YVASTI€FA 8 <br /> M'mh <br /> V a MWt QJANUP•ITB (�-� 0 1'001)FACit-ITY <br /> TANk (MVNITeMIVc MM0VAL) la WA KBNNEL LIS <br /> ki <br /> Qr WA>tlB QBNtilIATOR M CHICKtN RANCH {7 PWTREATMWTPt.ANT <br /> TIED M010 �RIr.Gq.iTY D MOTELIHOTEI- 0 POURER TRUCK►MARM"1EM TOILr--T3 <br /> fl Pc>t7U*PA 0 LW iasis AMICA11014 SMS <br /> 0 TATTOOOVY PMRG1NG 9 4TitEp.. (PLUMS SPECIFY ApOW1 <br /> O aEOIGAL WAM FACIt-1TY <br /> 1. List up to tarn addresses in the spurn above. Seleat the type(s)of files from the fist,above by ch"King <br /> the appropriate box(e4 At least one file type MUST be selected. <br /> adgm df , <br /> Z. 1EH0 wilt no tiy the app ant If any l�files exist. An appointmoOfor rev'11yew will be confirmed <br /> approximately five business days but no later than ton(70) days al'fertecei<,pt of opplicaition. The files <br /> vAll be halt$ for a maximum of five business days for review. Appo nt+s should be scheduled <br /> accordingly. <br /> 3. A file that is actively being workW an by ZHD stuff relay not be lmmWlgvlV available for review. A now <br /> application may be submitted Wh m the file is evallabla. EH,staff at the expense <br /> 4. Any file not returned in the same ca ndOm as released will be reemitigad �Y <br /> of the applicant. Future isle reviews by the ssrnG applicant may regUIR a$89.00 deposit prior to rat ee <br /> 6. 'TENTATIVE appointment dames mustbe confirmed with EHO staff. U4 <br /> s. Applicaticons received after 3:00 pin wig be processed the next busbm d;1 y. <br /> CONFIRMED AP POWNIEW PATE - TIME �. <br /> DATE CONFIRMED PHGNR FAX I rWTIALS <br /> REVIEWED YES NO RF-VIEW DATE _�� <br />