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'^wv/wr— II \•••! ►wo wu wawa <br /> "I7 N <br /> ,.DD SM JOACIUIN COUKWPU13UC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION �� ( <br /> ,V..1` fYi Fr k u Z U O 1 306 RAW vvifBNllt THIRD FLOOR <br /> C srocKrON aN CA cw 95xoz <br /> (209)46&4M <br /> r�LTH POBLIC F2ECORDS RELEASE APPLICATION <br /> e4a8fE6a/AeaNCY 1.rLO. �,, <br /> " b 0, 4 <002=,A1 #D <br /> PHONEFSZ R�c�r.n� G1T� � �ad:; +� <br /> v r. <br /> J!J <br /> TENTATIVE'APPQefTmENTDATE. �? Z1�Ma <br /> aQ'W.Aaa ylro 7 ro 1e rears data oT a q 4 <br /> i <br /> CNeCK aOX TO FXPEOTIB -3a7.aB P I OSE fi 3 titrSrNE45 DAYS <br /> SIGNATURE OFAPPLICAlc� ` HATE / r4VL� 2K �Oc7 ! <br /> i; <br /> F YMIO lex CHO eTArT era*ONLY <br /> ' P&OGRAN nJMUWM SEARCH <br /> V ✓� I h <br /> n <br /> I <br /> Z V w4 P. L — <br /> 1 <br /> I <br /> ' d <br /> ENVIROMMMIMAL HEALTH DIVISION FILES <br /> YNOERMMKI)TANK Nn CLEANUP SITE(LOM G NOUMOA*AT"ISM? >a 50im WAU11 Ilam <br /> OTHIMCLIZAMPSITE(IAQQJIAP) q C FOOD PACLITY t3 SOUDWAUEYEMME <br /> UHDF=ROUH0 TANK(YONITQR816 VAU 10 DOi KIROM t7 DAWY <br /> HA2AR00V3 WASTE 9KNEnATOR 0 cloc2o lPANCH O PNOTREATMENr PLANT <br /> M TUMMIMI 7EDFAC1.ITY C IWTH TRORYAWNGMM TOLUM <br /> O TA1r0oAOYPrVtc Q O eW <br /> G LAND WE APPLICATIQN Sri= <br /> 0 M@OW.M.WASrg FAGLRY D PLR=WATCR AYW= Q OYhfR 9%EAsi SP€'Ca'YA40M <br /> 1. List up to tan addre"Ou in the GPWA above. SYI40 the typo(*)of t11es f(ORT the Ha above by a ted Ung <br /> the appropriate bok"). At feast one fie type N KW be ae10Ct*d Fag tf t]D914a4.013a at mall to the <br /> AddraamInaLGAN Libsva <br /> 2. END will notify the iepplk*nt if any END Mae artist. An appohntneeM for ravtawwili be confirmed <br /> appruximatuiy five business-days but no later than ton(101 days aW r6cW of application.1be flies <br /> WRI has hold for a maximum of five business days far review. Appoinbourds should be scheduled <br /> 3. AA fife that Is vAWraly beind vhmimd on by LHD SUM may not be immediately avakable for review. A new <br /> application stay be submitted when tri*file Is available. <br /> 4. Arty file not returned In the eaaw aondfTlon as talbssed wYl be rebrp rimed by END staff at an expense <br /> of the applicant. Fgt4ra filo rsYlaw*by the Laine appticsnt may roqufro a WAO deposit prior to reviler. <br /> S. 'TENTATIVE appohitnent dams must be calfirin*d wilh END staff. <br /> 0. Appftatione ruc*tV*d atter 3.00 pm wit be proetased the Tort business day. <br /> CONFIRMED APPOUnWisNT DATE' TIME <br /> DATA:CONFRUMM P"Mr- FAX INITIALS <br /> REVIEWNID YES ! ND REVIEW DATE <br /> TOTAL P.01 <br /> I <br />