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"'m -tut+ktulty t-;Uut`J 1 rt UBLIC HEALTH SERVIC1`.S `�l t <br /> ENVIRONMEN'T'ALHE;ALTHDIVISION <br /> � '��'� tF <br /> �� <br /> � <br /> s k 304 EAST WEBER AVENUE,THIRD FLOOK <br /> sTOCICTCML GA 35202 <br /> (249)468.3420 MAY 052090 <br /> PUBLIC RECORDS RELEASE APPLICATION- �, ,Ir�-;-AL HEALTH <br /> C� APPLICANT PFI IVI�F�S 1� <br /> �`- � $US[NESSrAGEnGYr/rrOhh.w�� e{l � �rVfl�'� <br /> A00RES5 29 elft SS 2 C/ <br /> _ Co <br /> PnfONE_�_�S�^(�fs I FACsr�IILE 3,� -pYS L. <br /> 7ENTATEVE"APP6tNFtIEIdTOATE_ Q � T� �j,'���� , <br /> f�case give 7 to t0 6 inazs aye from pate of applita[iart wbmi[te1} -- <br /> i XCCIt sOX TQ FXPEDtTE REQUEST- $.a8 FE ItEQ PR SEE)W 3 8JUSINESS DAYS / <br /> SIGNATURE OF APPLICAW <br /> DATZ - d17 <br /> FtLt ARDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM fLAraENT3 SEARCH <br /> i c tJC t `''t r <br /> iKvS r 0 <br /> ZS c u l H cQIT <br /> e rU <br /> .so 3 zoq, ) of — J w� z -� ' 3�0 <br /> S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ��DERGKOUND TANK(UST)Ct_F-A.NVt'SITE(LOf') In HOUSING A8ATEWZN7 a sOLtD 1NA$T)r FACILITYTFtEft CLEANUP S (NONLop) _ O FOOD FACILITY _ _ Q SOIC1 wASIE kEIgCE� - <br /> HA��3 DERG>`cDS7 TANK Wfa�ilT Zi 1ti�JREb10YALj O DW KENNEL t7 DAURY <br /> AZAt;DOUS WASTE OCNERATOR 4 CHICKEN RMCH [] PKG TREATUPWT PUNT <br /> t7 TiEREDPIERMtTTEDjrAciuTy 0 MUMLMOTEI O TArTOO/1300YACIMG Q PUi 'ERTRUCVYARQICFEATOILETS <br /> O MEDICAL WASTC FACIUYY O POOUSPA O LAND u3E APPLICATION SE <br /> O PUB UC WATER SYWEm O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. list up to ten addreao**in tlw space atrave. select the types)Of rites from the list above by checking <br /> tho appropriate box(es). At least ono file type MUST be selected. Fax to(2091464.0738 or Mil to be <br /> dress Indicated ah- <br /> 2. EMD will notify the applicant if any END files exist, An appointment for review will be Conti med <br /> approzimatOly five business days but no later than ten(10)days alter receipt of applicallon. The files <br /> wilJ be held for it maximum of five Wsiness days for review. Appointments should b-c saeduted <br /> accordingly. <br /> 3. A ftie tnat is actiyely being worked on by EI^iD Staff may not be immediately available for f4view. A new <br /> application may be submitted wnen the We it available. <br /> 4. Any file not returned in tht same condition as released Will be reorganized by EHO staff-t the expense <br /> of the applieanL Future file reviews by the Sante applicant may require a$78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointMOnt dates must be confirmed with EHn staff. <br /> 6. Applications received atter 3:00 pm wQ1 be proca33ed the next business day. <br /> FCONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INrTtALS <br /> REVJEWED YESts2O RL-VIEW[TATE <br /> w ...._ <br />