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. _%Wm 1 0. Anderson & ASSOC. '' No•3395v.wP• 2 <br /> — SAN aawN COUNTYPUBLIC•HEALTH S&ACES <br /> 0 CT .2 8 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> iJi�M ENT f'tALiH STOCKMN CA 95202 <br /> FFAMIT/SERV1Cf5 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIOANT C�%;Q W G,FP _61JCIHE$1ilAIQEW -Ne:l 1 04 kv+es <br /> T' <br /> ADDWM aus Lod C-A <br /> PiiOHE � �3 FACSlAIILE �� �'3� ZZ 8 <br /> TENTATIVE-APpwwn smT DATE Al f2 V• 06 - TwE <br /> (in.a.plre 7 to�0 euatn.ss dp�lMpp1 awl.a appEoation�ulsrrdlts� <br /> GMCK BOX To EU%-1Drl%PJ1WG$T. RE PADC53851)IN 3 Buso aS$DAYS <br /> SIGNATURE OF APPUCANT DATE 1 fl Z f3 <br /> Fal mom THIa lid �DRLY <br /> Ab <br /> 7z jS <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> MG TANK(tISTI CLSMIUP SITS(LOPE O MOIISIMS AEATEMENT G SOLID WASTE FACILITY <br /> ER CLUMP arm pawwm O F=FACKM [7 SOLID WAM VEHICLE <br /> 00 TANK(IAMOR>NO UMOVAL) O ON KSHIIEE. D DAIRY- . <br /> MAZAIMNS WAM 6�RATM C Cwa=RJIHOFI G PICA T0AATMENT PLMr't <br /> O T1EleW PERIAITI'Eb FACKA Y G NOTELM"n-- © PUMPER TRV0WAJ10=EM TDr.LTB . <br /> 0 TATr)OAKOY PE RCM C3 POOL PA © LAHO USE APPLICA7M SM <br /> O MEDMAL WASTB FACILITY M P1rB=WATER SYa'M O OTHER P SASS SPECIFY•AaOfEj <br /> 1. List up to tan addresses in the space above. Select the types)of tiles from the cast above by checking <br /> the appropriate box(es). At least one Ale type MUST be solocted. ILm log 12610 484-0t;A gr mmu tot1e <br /> Z EHD wig DOW the oppiloar:t It any <br /> END flies exist An appointment for review will he confirmed <br /> a�roxlrludely fl've business days but no later Alan ton(10)days after racnipt of applic tion: The files <br /> will be Meld for a maldmurn of five-business days for review. Appointments should be scheduled <br /> acooMingly. . <br /> 3. A fila that is actively being worked on by END AW may not be Immediately available for review. A new <br /> application may be submitted when the file Is milablo. <br /> 4. Any fila not retuned in the same condition as released will be rrorpanlzad by END staff at the expense, <br /> of the applicant. Future file rW*ws by the earns appllaant may require a$88.00 doporit prior to review. <br /> 3. -TENTATIVE appointment dates mull bo corMnned wits+END staff. <br /> iL Applications received triter 3:00 pm will be processed tho nwA buslneas day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />