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' .. .... .. ..... �.J. A..•1'.:.��1_I'r Y.i'!WC 1•aTJL <br /> Ueo La[:N�splkskJ{ <br /> �Ij.. SAN .�QUIN COUNTYPUBLIC HEALTH VICES <br /> J � 1 <br /> - - ENVIRONMENTAL HEALTH DIV -51ON � `��C, <br /> Sad EAS' WESER AVENUE,THIRD FLOOR <br /> NOVA 1 2000 $TOCKTON CA 95202 <br /> (203)466-3420. <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE AP 1C 10 1 <br /> PERM� ERVI <br /> PASi IcaNT a-�'- suslnJl:sWAcErlcY_ „J� <br /> , lap>�ess l�s I V A z z <br /> PJiONE r$C] T G �FACSINILLF 1 '1—:32 <br /> 41 <br /> TENTATIVE,APPONTMENT DATE f"� �� TIME ��d <br /> (Novk-to giva to to buwingsa days from OAP of�pPll"Von subrnittal) <br /> CHECK SOX TO EXP40rrH REQUrL 4 F OCES5ED JN 3 HUSMUSS DAYS � <br /> S1GNA7l1RE OF APPLICANT DATE fr /_� <br /> FILE ADDRESS T14IU.SME END STAW USF;ONLY <br /> PR;IGPAN ELLMEN19 SEARCH <br /> { <br /> ENVIRO MENTAL HEALTH biVISION FILES <br /> W"DERGROUND TANK(US'0 CLEANUP SITE(LDP) Q MOUSING ABATEMENT n SOLID WASTE FACILITY <br /> ip 10THER CLEANUP sn(MON-Lop) CJ FOOD FACILITY ❑ SOLID WASTE VEnICLE <br /> b UNDERGROUND TANK(NtI7UITURJULUREMOVAL) L) DOG KENNEL d pA1RY <br /> -"4W_AkDJ3US WASTE GZNERATOR 0 CHICiirtl RANCH ❑ PKO TRIM TNEW PLANT <br /> fI TIERED PeRMrr reD FACJJJ7Y 0 MO1Vl 0QTLL C;:r PUMPER TRUCKrfARMHEMTOJ ETS <br /> TATT001500Y PEIRCM13 0 POOI.fSPA :.' 0 LAND UbE APPLICATION SITES <br /> Q MEP" GAL WASTE FACILITY 13 AUNLIC WATEA SYSTEM M O H XR(PLEASX SPEC"ABOVE) <br /> Ust uP to ter)wadresses in the r-pace above. Select the-types) of Isles from the list above by checking <br /> the appropriate box(ex). At least one file type MUST be se)ected. Fax to IM,4 -_ of mail to the <br /> a ddrass i�Idic�k0dt�av�_ <br /> 2. EHO wJJ1 notify the Appricant if any EHD files exist An appointment for review wIJI be confirmed <br /> approximately flvo bu6lfless days but no later than-ten(10)days after r6eipt of application.-The files <br /> viiii be held for a rnaXirr UM of five buslne5s days for review. Appointments should be s'thadtlled <br /> accorriingly, <br /> 3. A file that i,actiYely being worked on by SHO Staff may not.be immediately avaltable for rev ieW. Anew <br /> 4PPlic4tiOn may be submitted whion the fife is available. <br /> II q• Any file not returaed�in the $gtm u condidon as released imill be reoriganind by END staff at the expense <br /> of the applicant Future rile reviews by the carne appllCAnt may require a$$7,00 deposjt priar to review. <br /> 5_ <br /> `TENTATIVE appointment dates must be canrrmed with EHD Staff. <br /> G. Application* received after 3:00 pro will be processed the next business clay. <br />! 1:0NFIRMED APPOINTMENT DATE TIME <br /> DATE=CONFIRMED PHONE PAX 1lYli-fALS <br /> 4VIEWED YES NO REVIEW DATE w' <br /> �Fi M 7S 0 /Dp <br /> TOTl L P.>31 <br /> I <br /> f <br />