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Mar. 15 2002 04:30PM P2 <br /> C. FAX NO. 2095,690295 <br /> I <br /> eo-Phase Environme <br /> NTYP <br /> L <br /> E L E -L DI ION <br /> PLY <br /> 0 A4W AVENUE.THIRD FLOOR <br /> PH 02 TON CA 95202 <br /> (209)468-3420 <br /> APALICAN <br /> ADDRESS 9317I/ae <br /> PHONE �-L-< <br /> FACSIMILE— <br /> TENTATIVE-APPOINTMENT DATE tlmrz <br /> (Plcasc Divc.7 t oTjMc4:tion fzsnilLal) <br /> LE2_-CHLCK BOX 70.EXPF_01TE REQUEST-$07.00"FZZ&-R PR •SSE 3�sil N DAYS <br /> SIGNATURE OF�PPLICANT J DATE <br /> TKI-5 51DE EHD STAFF USE ONLY <br /> FILE ADORCSS <br /> PROGRAM ELEMENTS SEARCH <br /> 0-C-111 IF Arll.� ZA_ S�-_ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> uNoCRQROUN0 TANK(UST)CLEANUP SITEILOPI 0 HOUSING A13ATEMEN7 <br /> 0 *OLID wA5rr;FActurY <br /> Q( 07HF.R CLEANUP SITE(MON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> (6 UNDERGROUND TANK(MONITORiNGIREMOVAL) C3 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WAS19 GENERATOR E3 CHICKEN RANCH i 0 PKG TREATMENT PLANT <br /> 0 TIERED PZRMITT§D FACILITY 0 MOTEVHOTEL 0 PUMPER'CRUCK/YARDICHEM TOILETS <br /> 0 TATTOOIBODY PJJIRCING 13 PC�OLJSPA --- 13 LAND USE APPLICATION$1TES <br /> = MCDICAL WASTe FACILITY 0 PUBLIC WATER SYSTEM I 1 0 OTHER(PLr-ASE SPECIFY AGOVE) <br /> 1. List up to ton addresses in dic space above. Select the typq(g) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-9138orM.'Iilto,the <br /> address indicated above, <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review Will be Confirmed <br /> approximately five business days but no later than ton(10) da'ys after receipt of application.-The files <br /> will be field for a maximum of five business days for review. Appointments Should be Scheduled <br /> accordingly. �i,i <br /> J. A file that is actively beim worked on by rzHD staff may not be immediately available for review. A new <br /> application may ba submitted when the file is available. <br /> 4- Any file not returned in the same Condition as released will ba reorganized by EHD start at the eXpensc <br /> of the applicant. FUtilra file reviews by the SAITIG applicant may require a$87-00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates Must be confirmed with EHD staff. <br /> 6. Applications,received after 3:00 pm will be processed the next: business day. <br /> CONFIRMEDAPPONTMENT DATE TIMI <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO t?FV[f:W nATC <br />