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li C."01 <br /> Public Health Services Environmental Health Division <br /> HOUSING ABATEMENT PROGRAM <br /> ENFORCEMENT CHECKLIST <br /> NOTICEAND ORDER TO ABATE <br /> 1. ?-7 10!" Date Complaint Received and Complaint Na. (W 00 70 '1-'3 2 <br /> 2. 1 0 V, Date Notice and Order to Abate Posted <br /> 3. 1 Z w Date Posting of Affidavit Completed <br /> 4. Notice to Secure Posted <br /> 5. Notice to Secure Letter Mailed <br /> 6. Compliance Date to Secure Structure(s) <br /> 7. )-1 Dik Date Entered into SIERRA S-,-stem and HR No. <br /> 8. V411 Date Title Search Ordered <br /> 9. Date Title Search Received <br /> 10. Date Notice and Order Mailed Certified to Owner with Cover Letter, Appeal Forms, and <br /> Lead Hazard Notice <br /> 11. Date Notice and Order Mailed Certified to Ben_eficiary(ies) with Cover Letter, Appeal <br /> Forms, and Lead Hazard Notice <br /> 12. Date Notice of Abatement Action Sent to the Office of the Recorder through the EHD <br /> Accounting Office <br /> Date Septic Tank Destroyed and Permit Finaled (Mark NIA if no septic tank) <br /> 14. Date Well Destroyed and Permit Finaled (Mark NIA if no well) <br /> 15. Date Out of Service Well Permit Obtained(Mark NIA if no well) <br /> 16. Date Notice of Abatement Received from Office of the Recorder <br /> Date Recorded Document No. <br /> 17. Date Abated: <br /> No. of Structures Repaired No, of Structures Demolished <br /> REHS Staff Signature Supervisor's Signature <br /> APPEAL OF NOTICE AND ORDER TO ABATE <br /> 18. Date Appeal of Notice and Order Received <br /> 19. Date Notice of Appeal Hearing Posted <br /> 20, Date Posting Affidavit Completed (For Hearing Notice) <br /> 21. Date of Appeal Hearing <br /> 22. Date BHA Resolution Posted <br /> 23. Date Posting Affidavit Completed (For BHA Resolution) <br /> 24. Date Resolution Mailed Certified to Owner(s)Beneficiary(ies)and/or Appellant(s) <br /> 25. Date Septic Tank Destroyed and Permit Finaled (Mark NIA if no septic tank) <br /> 26. Date Well Destroyed and Permit Finaled(Mark NIA if no well) <br /> 27. Date Out of Service Well Permit Obtained (Mark NIA if no well) <br /> 28. Date Abated: <br /> No, of Structures Repaired fN01 <br /> REHS Staff Signature Supervisor's Signature <br /> HAO008A Revised 9-14-00 Page 1 of 3 <br />