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0 Z7Z <br /> ❑A.DMn�ElyJ SND LOG NUMUER <br /> 11YJ1 SAN .IC�AQUII� C�Ui�TYPUBLIG HEALTH SERVICES <br /> ENVIRNMENTAL HEALTH <br /> OCT Q 4 noo 304 EAST WEBER AVENUE,THIRD FLOIOR <br /> OCKTCA <br /> ENVIRONMENT HEALTH � (209)O 8-3420202 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Bl15INESSIA(3ENCY itrtt� Ir IVIG. <br /> ADDRESS ., �q <br /> rTENTATIVEAAPPQjNTMENT0ATE <br /> FACSIMILE �-4' F^91140-I0- 11- 24D-00 TIME a� <br /> jFlease give 7 to is burjrc r,aayY from date of applic-glon submittal) <br /> CI-E-GK SOX TO LXFLDITE REQUEST 0 FE - EQU ST RuCrS ❑IN 3 BUZINESS DAYS <br /> SIGNATURE OF APPLICANT U DATE <br /> FILE ADDRESS THIS SIDE CHD STAFF USF-ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> - <br /> J d{ cyyjt .�ve�1 - a!t n.-+slst-(R <br /> MI 2 <br /> q 4 G ♦"r <br /> �rslicr �qr <br /> 7464- f t c . <br /> Y v 7 E r1 t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> g uNDEROPOUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT Qr SOLID WASTE FACILITY <br /> 1St QTHLR CLLANLIP SITE(NON-LOP] 0 FOOD FACILITY Q SOLID WASTE VEHICLE <br /> 9 UNnFRGROUND TANK(M0NIT0RIW;1KLMOVAL) © DOG KF-NNLL 0 DAIRY <br /> air NAZAITpQII&WASTE GENEIZATAIit <br /> 0 CHICKEN RANCH © PKG TREATMENT PLANT <br /> L7 TIERED PERMITTED FACILITY 0 MOTELIHOTEL ❑ PUMPER TRUCKJYARDICIHLM TOILETS <br /> © TA.TTOQIUODY PEIRGING d POOLISPA 1:1 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACII ITY M PU BLIC WATER SYSTEM Cl OTHER(PL.EASE SPECIFYABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(;)of files from the li*t above by checking <br /> the appropriate box(es). At least one fife type MUST be selected. Fax tQ ( 02 9)464.0138 or mil to thp <br /> address indicated above- <br /> 2. EHD will notify the applicant if any IIID files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) clays after receipt of application. The riles <br /> will be held for a maximurn 4f five 13U-Sh-IeSs days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being workod on by EHO staff may not be immediately available for review. A new <br /> application may be submitted when the file 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 tKa applicant. Future file reviews by the same appllcant may require a$87.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> u. Applications received after 3:40 pm will be processed the next business day- <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> RiEVIF-WED YES NO REVIEW DATE <br /> rpt as �a aaQYrlq - -- <br />