Laserfiche WebLink
npUB1-IC NCA�(siaNavl� <br /> _ sit, <br /> 361 STOC 9 40 sn" pP4tCAf 10� <br /> :CORIDS F-S'- a <br /> _ [�y1��(����D M gt191NE�tA4£tiGY--��'r��^�ayA•�"",.—r--"'r�.-.-. <br /> Bat-"�3s- 1'�._„a_3,__—_.-FA��LIL£ • <br /> CAjp <br /> ,t�_ ted..-2 <br /> `PENTATtVE'APPOtNTaAFJ+T°ave d Lcation Mubmltw) :1 <br /> �v 7 to a0 nua1, aYs trcrndaY a:aFP <br /> PROCESSeD IN 3laU91HESS DAY5 <br /> SIGNATURE OFAPPLtCANT <br /> DATE 1�f� 1% Qyj <br /> FILE ADOR559 THIS SIDE E145SrAPFIJFE ONLY <br /> PROGRAM ELEWNTS$fARrH <br /> t T <br /> _— — 21 innO <br /> • <br /> f ENVIRONMENTAL HEALTH DtVI=N FILES <br /> ✓ jINDERGROVNDTAM<(UST)CLEANVPZ51TE(LU?) O HOV91Ne AHATE3MENT PT�OLID WASTE FACwT\ <br /> OTHER CLPJINUP SITE(NON10P) O FOOD FACa,nY �1'SO 1.LD WASTE VEMCLe <br /> VC4�t1tV' RGROUND TANK MQNITORINCJREUOVAL) C 000 KENNEL Lem RY <br /> KAZARADUs WASTC GENCRATOR XP CHICKZrd RANCH M^G TRLATNCNY PLANT <br /> 01'`nERm PewrrrED FAC1L(Ty O MOTELMOTEL H�Pt1MPER TRUCK/YARMCABn TOILETS <br /> CI TATTOOISGD�`PE]kGING L7 600SpA - : LANouSE APPLICATION SITES <br /> Qr MEWCA.L WAS79 FACUrY PUSUC WATER 9Y$TEtd O GTHER(PLEASE SPECIFY ADOYE) <br /> 1. List up to ten addresses in the apace above. Select tn•typ•(s)of flies from the list above by checking <br /> the appropriate box("). At least one file type MUST be selected. FA4 to M91 40-4:Q138 or malt to the <br /> address indicated abbe• <br /> 2. EHD will notify Ills appHCAnt if any EHU riles exist. An appointment for review will be Confirmed <br /> approximately five business days but no later than tan(10)days after receipt Of application. The fliers <br /> Wilt be held for a maximum of Elva business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively awing worked on by EMD start may not be immediately available for reVlow. A now <br /> ■Pplicalion may be submitted when theflla is available. <br /> 4. Any file not returned in the same Condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future File revftWS by the same applicant may require a$89.00 deposit prior to revlaw. <br /> 5. ITENTATIVE appointment dates mutt Do Confirmed with EHD Staff, <br /> 6. Appllcativns.ccelved after 3:00 pm will be protessad the mutt business day. <br /> r <br /> CONFIRMED APPOINTMENT DATE TIME <br /> . DATE CONFIRMED PHONE FAX INITIALS <br /> EVIEWED YES NO REVIEW DATE <br /> TUTFIL P.01 <br />