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FR'OP'i : Ni Ifs Env i ror rnen t.a.l PHONE H0. : 2139 369 -12c8 filar. 16 2000 10'05Ptl P1 <br /> SAi )AQUIN CQUNTYPUBLIC HEALTH SftptVICE3 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E"T WEBER AVENUE,THIRD FLOOR doln <br /> 1MOCKTON CA v0202 <br /> PUSUC RECORDS RELEASE <br /> —T SE APPUCAMIV 01 <br /> APPUCANr 1 "1 err euEtNl�.Ssrwo�hCT ,1 <br /> YllaN62z 12I4 20–�-"ACMIME _ -2 <br /> 4 22 TENTATIVE*AppGINTMENT QATE —� <br /> (a tv.ao gtr.T to 10 bulrMl4 da •mwn o�e� T tE <br /> t� r �+estivn <br /> u CHECK Box TO EXPEM"tt±REQUEST-573.40 p"_NEUUE3F BCp iN�8USINRSS GAYS /V) �I <br /> SIGNATURE OF APFUCANT �. <br /> t'4EwDnRE3S ti ccs" <br /> �Z <br /> 32 <br /> S <br /> ENVIRONMENTAL HEALTH DM640m FILES <br /> .UNtERGROuND TANK JUST}CuI mvp arm{L.GPj 13 40=NQ AaNMMENt t7 <br /> OT R CLEA"P SrM(NON4.0P) Som WAsm r-ACIU?Y <br /> 'UNOERGRIOUND TANK Wroiur0fUNWRM&GvAL) o �.TM 13 �a wAWM v1Rlli� <br /> ++�KOOW wAMT8 GMdI�RATOR o mmP-v <br /> TMAED PeRl4 MT)PACJU-y C � t a PK*VFM`ATbAWt PLAUT <br /> Q TATTpoleaDy P� q PUMPER MUCittYARI=rCM T=M <br /> C7 EOtGJ1L1KA5 FIlC11i1' POOLIMA LJWt7 t�APPLICAT�NSt "- <br /> --_– Oi�KR(PL1 ME QPECIFYAZ}QVE) - <br /> �. t.lst up to tan addr"44"in the sQaco above. Uiect aha <br /> the approPriata box(as). At Jest onv faa fYPe{ of fifes horn the fist abovo by chackrn0 <br /> type tVtuS7 be seteatad. CU to JMS&I 46L-0 wail ro the <br /> 2• EKD will rtastty th•ap�s;tcarTt It any EMD i!!e�a>iiat An <br /> aRproximataty five business days but no tabor than tett 0 days eftQr scant for rf ill be a lAhTned iflos <br /> = r laid for a n7axirnum of five businYSs dayFs for rovtOw. APPOin lents should be scheduled <br /> ancotsfktgtl+. <br /> 3. A rile that is Activefy bothg worked on ERD <br /> aPP"Cat'On=Y be Suhtnitted when the flip Is ave Ably.tff may not las I�ltlTta<flatefy availahfg for ri.irtGy, Anew <br /> 4. Any fila not returned In the Gama <br /> Of thQappilurrt_ Fdition as released wilt be"Nmgarxtzad try!=1-ID staff at U w exRenae <br /> 5 'T£I1TA i iVEs uture file ra rieurs tort by trie sarrm appligsrt may require a$78.00 depoait prior to rcvlgw <br /> s _ <br /> aj�polrr nvnt CIOUn must be conftrrtred witty END shift. <br /> Appfir UW3 received after 3.00m Villi <br /> p b#prxesneci the next tsuWnass daY. <br /> CONFIRMED APPOINTt, elT DATE <br /> TIME <br /> DATE coMr-IRMeo <br /> PHONE FAX <br /> INmALU <br /> REtftI:YYEt? YES NO � <br /> �+ • MIE:W DATE ' <br /> TOTFL P.Ol <br />