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PHONE NO. : 209 369 4228 _ Feb. 09 2000 09:09AM P2 <br />to ] A p� �,+ �r�. ,�/ r� � } r �y z �+ c�® a�2 <br />•~SA AQUIN VCUN PUBLIC HEAL H i-aVICES `NU LUG NLtrAL6 <br />ENVIRONM AL HEALTH DIVISIOf�j 00-0,30 <br />304 EAST W Elft AVENUE. TMiM FLOO <br />STON CA 952= <br />_. <br />PUSLiC RECORDS RELEASE AP'PLiCAiotd <br />(Plaw'd give ;r <br />to + . T <br />... rtiir• i T <br />�.�I�Iij` <br />� i-51GUTURE OF APPLICANT DATE <br />• IN <br />ENVIRONMENTAL...urnr�C tt <br />O... <br />13 �' i 2011 <br />.k' a • :11 , ! • a.. aLPUMPER <br />, . may.... t .MT .. ,. TOLEM <br />ti <br />1. List UP to ton addreasos in the spa" above. Select the type(s) of files from ow list above by chocking <br />the appropriate box(oa). At feast one Me type MUST be sewcted_ �•���f�r 464.1)Z� nr�g�H;o the <br />a s lha#ed abclygs <br />2. END wUl trotlty the apptliaant if a»Y EHD files exist. An appointment for review will be confirmed <br />approz(mately five business days but no atter than tan (10) slays aftlmt receipt of application. Ttfe tiles <br />will be held for a maximum of five baseness days for tovf#W. Appointments nbouid be scheduled <br />ar:corrfingly_ <br />3. A file that is actively being worked on by EHD :teff rutty not be tttu wSately available TCt ravievl. A new <br />application may be submitted when the fila is avatlwa. <br />4. Any fife not retumcd In ttss tatne condition as reie4sed will be reorganises by EHD staff at the expense <br />Of the 11ppticant. Future file rseVie+ws byr" taupe applicant may require a $7a.00 deposit prior to rovtew. <br />S. •TEWA i 1VE appointment dates must be confirmed with EHD sta ". <br />6. Applics0onss received after 3'00 pm Will be processed the next business dap. <br />' _. <br />CONPIi MED Ai'polmen DATE TIME <br />DATE OONFlUEf PHONE FAX IN MALS <br />ltl;Yib'WEf7 'YES NO MVIEW DATE ��� <br />1w so 14W ..»,�...r �.. <br />TOTAL P.01 <br />