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.rr <br /> .---Dec 15f: 2.4p <br /> .upat i ona l knowledge f P• 2 <br /> �Ll _,L2 rUtpLlU r1kALTH $r,� ICES " ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> — -' <br /> 304 EAST WEBER AVENU[,THIRD FLOORCA <br /> r <br /> DEC ;3 Zoo,; 5r CKTON <br /> (20 9) 468-342025202,: <br /> I <br /> '..,PUBLIq RECORDS RELEASE APPLICATIO/N _ <br /> �APf'L,fl Q��^i . 'fr;t evQS � _ pU517ZE55lnGEHCY `-'�,G V ql+��}4 �'l./�L�4rl� C � ��W--^•-.�r,� i <br /> AOprtcss .,1 O r. <br /> PMO rvC FAt!;{MILL �, / a •�V <br /> ���__.��.. ....-_. <br /> — i <br /> TCNt ATIVE'AYPOINTMI.NT DATETIME <br /> (PIp•1}a Wra T 1p 10 b�alna>..Jars teem U.s%q of a PIIC3tr0n ayb11[tt[AO 1 t <br /> CHECK 00x 10 exPEOITI:RCQUC T •S01-0 FCC a EST PROCE SSED+N]9USINCSS DnTS <br /> SIC;r4ATURE OF APPLICANT <br /> DATF. <br /> AIL F^oouC,g THIS SIDE EHD STAFF t1sr oNt Y <br /> PROGRAM ELEMENTS SEARCH <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> "'Y'VN0CAC;P0VND TANK(UST)CLEANVN 51TE(LUN) O MOUSING AOA1r`MF.NT O SOLID WAS SE FACTLIT-f <br /> THER CLCANVP 511E (NGN-LOP; 0 FOOD FACILIhr ❑ SOLIU WASTE VCHICLE <br /> aN UN4CaGROVr,O TANK(YUNITORINGlR[MOVALI 0 004 KENNIzL U OAII+Y <br /> .-t ' 2K IIAZARDOUS WASTE GEN[RA7pn t0 CHICK0 RANCiI O PKG TREATMENT PLANY <br /> CJ tl[R[O¢ErtMITTEO FACILITY d MOT(LIHOTCL Cl PUMOER TRUCKNARUICHC144 TOILE=T5 <br /> 6 TATT0V$t)OpY PCIRCINC, TJ POOLISPA Q LANI)V5CAPPLICATION SITES � <br /> `O MrzrICAL W114TC FACILITY Q 0111LR(PLEA5E SPCCIrY AOOVCI <br /> 1- List up 10 ton addresses in the spaco above. Solecl tho,lype(s) of filet Irom the list abovo by chocltino <br /> the appropriate box(0s). At Ica5t ono lite type MUST t7e'Se[vCled. F,%x to(7.0.9) 454.0100 or m711 10 the <br /> aanfc5s (nait3tcd above. <br /> 2. EHD will notify the apptiG:int It my EHD furs exist. An appcinlrneint ivr rvvicw will be confirmed <br /> approximately I+vc business days but nv lator than ton (10) day, after receipt of opplicatior. Thep file: <br /> WI11 ue hcid for a maxleflum v( five Uusinrss days for revlew. Appolnlrncnls showld be Schoauloq <br /> hccorrlirlgty- <br /> 7. A 1,Ic that Is nrtivuly Or9 worked on by EHD stall rnay'not be immediately ;evnifablc ror rcvlcw, A now <br /> sppliratlon mny tic ; bmlltod v.hon the file is avol3able. <br /> n. An'y lite not returnyU in the same eondibolt as r0o"VO will be reurt}anitcd by CHD staff,t (he oxponse i <br /> of the ZIPPUCant. future file revlews by the samo appttcint may roquire a 130.00 deposit prior to rcvlcw. <br /> 5. 'TENTATIVE appointment dates must be conflrrrtod with EHD staff- <br /> G. Apnllc::6Qns received after 3:00 pm will Ue processea the next business day. <br /> i <br /> yOHFIfi:MED APPOINTIvIENI [:)ATE � .__ TIME <br /> DATE CQNt ;s:(vtt.0 PHONL FAX INITIALS <br /> tC-Vtr%"VQD YES NO RF-VIEW OATS <br /> I <br />