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SAN A QUIN COUNTYPUBLIC HEALTH SEWCES <br /> ENVIRONMENTAL HEALTH DIVISION �L <br /> 304 LAXY'W�BEK A%1F-NUC,:'FNIFW FLOOFt <br /> csroc Toni CA asava M l,1 � <br /> (zcls)�-s��o � r <br /> PUBLIC,RECORDS RELEASE APPLICATIONAFH <br /> APIA T BUSINESS AG><I�lCY 42000 <br /> AL)DRfsS , <br /> ENV f1 ONfw ENI-�IL PEALTH <br /> -ER17M <br /> / f- YiCES <br /> PHONE FACSIMILE <br /> TENTATIVE'APPOINTMENT DATA,! f Ob TIME I <br /> (Please Owe t to is bueirww days"m date ofappl"tgnsuAmmii) <br /> cNScK IS=TO 10IT1A R=U,947»;72.00 PES- R&Q � P "2ro MR 3 BU19MMS>DAVI i <br /> SIGNATURE OF APPUCANT DATE 4 <br /> 1. lix <br /> E AMRESS THIS SIQ6 EMO STAFF U 8 O <br /> F& >ry <br /> PR(>130"EL EMCN"39ARCIt <br /> i <br /> Yl. 3b <br /> -Ap1 V-1 <br /> 1006 r t Ei7s a <br /> 3025;AL <br /> V.. � <br /> LEH= , <br /> "VIRONMENYAL.l•di±AL.TH =810N FILES <br /> WiDERGROUND TANK(UST)CLZANOP$1-11[LOP} 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLCAHUP WrE rNONAMM 0 FOW FAC LITY IM G GOLID W+yM VEHICLE <br /> UNU11RGKUUN0 TANK tMQK1TVR1NG1ti=QyAL) 0 POC KENNEL' <br /> HAZARDOVS WASTE Ot NUMTOR ❑ CHICKEN RANCH 0 PMC(?TREATMENT PLANT <br /> * TtIA110 PfAmn- ed FACILITY IM MOTEUNOTRI. 0 PUMMA 7';P GWYARWCHM TCL=O <br /> l7 TATTOMOD'Y POIRCING 13 POOUISPA [7 I MD USE AFPL XAYioN SMTEs <br /> Q MEDICAL WASTE FIACILYrY G1 PUBLIC WATER SYSTEM C iyrde[{PLEASE SPECIFY ABOYLI <br /> 1. List up to ten addresaes in fhtl space above, 80166t the type(s)of files from the list above by checking ` <br /> the atppropl'late boxes). At 14ASi 0179 file typo I IJUT be 5010ctei- FBI to 14§9&129 Of Milli 12 Ihe E <br /> keels Indlealld above. 1 <br /> z. ZHO will notify the applicant If any ZHU files exist. An appointment for revlww will be confirmed <br /> alpproximately I'Ive business days but no later than ten(10)days after reCelpt of appiica lon. The files <br /> will Cit held for a maXirnurn of fedi bUsiness Clays for review. Appointmants sheuld bo scheduled r <br /> aCcorldlllgly. � I <br /> �. A file that to acUvvjy baing woftetl On by Efll]staff moray not be imrhedla(ely available for review. Anew <br /> application may be submitted when the fib Is avalloble. <br /> 4. Any rile not returned In the same CondlOon as rel ed will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applICArlt may require a$78.00 depoalt prior to review. <br /> S. *TENTATIVE uppolnfinent datum must be Confirmed with EMU staff. <br /> 6. .applications received after$:00 pm will be processed the,next business day. <br /> CONFIRMED APPOIRTMENT DATE TIMI: <br /> DATE CONFIRMED PHONE FAX INMAf.S <br /> EtevLEWED YES No REVIEW DATE <br /> ex cc 141UIz,. Y.to <br />