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-�.�e virvnme�tal; 916 354 1786,Jun-2... a <br />Citi 3:38Pb1; Page 2/2 <br />I` • - 'L !1 1'I FRCM TO 19163541786 P.01 <br />SAN JC---AUIN COUNTYPUBLIC HEALTH SERVICES "C'400 rwwL R <br />JUN 2 8 2000 ENVIRONMENTAL HEALTH DIVISION C n <br />364 EAST WEBER AVENUE, THIRD FLOOR <br />ENVIRONMENT HEALTH srDCKTON CA 95202 <br />463-3420 <br />PERMIT/SERVICES pUBLIC RECORDS9RELEASE ApPLICATION <br />APPLIGIN7 <br />AUS1NE33/AGENCY_ rD <br />-�R l <br />ADURE5g P•0, 130y *369 nq CH6 MVRIETA rA 95683 1ef <br />PHONE (916) -354-37 t o FACSIMILE — <br />TENTATIVE" APPOINTMENT DATE 3-%S or - 'II 100 <br />(Please pine 7 to 10 b"d , &d ,. &.,... w_ � - TIRE 1: 3 O <br />—"' .-. .• I., <br />CHECK BOIL TO EXPEDRE REQUEST. f78,00 FEa -• REQUEST PROCESSED IN y BUSINESS DAYS <br />SIGNATURE OF APPLICANT _A <br />�t,,.....`.'''c-'^ DATE ij 2$ r v 0 <br />t,r tNVIRONIAENTAL HEALTH DIVISION FILES <br />ry OTHER <br />TANK (UST) CLEANUP S(TE (LOP) O HOUSING ABATEMENT <br />OTHER CLEANUP Allis INCN-LOP) p 0 SOLID WASTE FACIL3TY <br />UNDERGROUND TANK (M RORINWRENOVAL p DDOG KENNEL O SOLID V"STE VEHICLE <br />O HAZARDOUS WASTE GENERATOR 1 OG KENNEL ❑ DAIRY <br />0 71ERED PERMITTED FACILITY O CHICKEN RANCH O PKU TRPATMENT PLANT <br />n TATTDOIBODY PEIRCING - Q MQ=LrHOTEL ❑ PUMPER TRUCKA'ARD/CHEM TOILETS <br />l7 MEDICAL WAM FAC <br />ILriY POOLgP/A C1 LAND USE APPLICAYION 3RE3 <br />C3 PUBLIC WATER eY57Etl ❑ OTHER (PLEASE " ECIFY ABOVE? <br />1 • List UP to ten addresses In the space above Select the the appropriate box(es). Ai feast One file types) of foes from the list above by checking <br />address indM ;^ d, type MUST be selected. fm !2691 d64_D1yly or ail to nta <br />2• <br />END will notify the applicant if any EHD files exist. An appointment for review will be Confirmed <br />approximately five business days but no lsterthan ten (10) days after receipt of allppcaBon. The files <br />will be held for a maximum of five butinasts days for review. Appotnbnenta should be scheduled <br />accordingly. <br />3• A file that I$ acture <br />IY being Workedon EHD stall may not be Immediately available for review. q newapplkthe may Dt submitted when thee file is available. <br />4. of the Any file not returned in the $ams condition as released will be reorganized by END staff at the expense <br />5. `TENTATIVE ant Future file d reviews by the same apPlicant may require a 575.00 deposit prior to review. <br />S' pP received after 3:D0 m ates must b be confirmed with ENO staff, <br />A licauuns r <br />P Prooeased the next business day. <br />CONFIRMED APPOINTMENT DATE <br />TIME <br />DATE CONFIRMED PHONE FAX <br />INITIALSIFwpn <br />TOTAL P.01 <br />