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From: 04/23. 17 15:13 4924 P.001/001 <br /> F '� "�w`., j�J I `"^'•vvr++�r�rrrT wuPl1 IM1JtSUG HP-ALTH HEIMCES <br /> ENVIRONMENTAL HEALTH lmisiQ�I--- <br /> c :L-'H Y 304 EAST WEMM AVENUE. i3 FE <br /> S"CK`hOill CA <br /> ( } I AIC (zoq)444-019 <br /> PUBLIC RECORDS-REL EIPPL ISI " ' <br /> APPLICANT - W! 8tWN1nW* NbC/Y, /�,�� C <br /> PHONE 3�' FACNIARA <br /> TENTATIVE-APPOINTMENT DATE TIMe ' <br /> (Please 01"1 to 10 b"hifts days from date of appFcalion submtltal) <br /> CHECK BOX TO VXPEnrrE REQUEST-Ilan FEE-RE0=1 PR000391)IN 3 BUSINESS DAYS <br /> /SIGNATURE OF APPLICANT DATE 07.- <br /> TM <br /> 7'TM ME EW USE ONLY <br /> PROGtWA g.EM6NtS <br /> Tt <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TAMC t 1f CLEMIUP SITE CAM 0 HOU3016 AMATEMENT O SOLID WASTE FACILITY <br /> L/Ta1FR CLEAt/UP SITE WON toP) ms AM FACUTY 0 ts"WASTE VIiMC LIK <br /> U wuR6Ro No TAKK @1OWT*mNGA=OVALI 0 000 ON O!L a 0AJW <br /> 0 BATA OM WAST R OSMAY0R 0 CHOMM RANCH 0 PK6TREATMEW PLAW <br /> t3 TIEM PEINUTTED fACKM LI MOTEIJNOTEL 0 PUWC-RTRUCWVARWCHEMT04M . <br /> 0 TATTOO MMV Pim 0 FoausPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACUTY v PUBLIC WAXIM SYSTEM Cr OTHER(PLEM S 1r ABOV@l <br /> 1. L kt up to ten addresses in the space above. Select the type(q)of files froth the list above by checking <br /> the appropriate box(es). At toast one file type MUST be seteded. Fax to=AM198 RE 10811 <br /> adeness ineitcrAted <br /> 2. EHD wilt na0ify the applicant H any OHD fik—s exist. An appoiririnerd for review will be confirmed <br /> appraximatsly flw business days bort do later than ten(10)days eller tT:clQlpt of applic MOM The Ries <br /> will be held for a maximurn of five business days for nwlew. Appointments should be scheduled <br /> accmdIngiy. <br /> 3. A file that is actively being worked an by EM staff may not be immeditately available for review. A new <br /> application may be submitted when the We Is available. <br /> 4. Any file not returned in the some condition as released will be reorganized by EHO staff at the expense <br /> of the applicant. Future file reviaws by the some applicant may require a$89.00 deposit:prior t0 review. <br /> 5. `TENTATIVE appointment data mW be confirmed with EHD staff. <br /> IL Applications received after 3:00 pm will be processed the next bUslness day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX LN[TUILS <br /> REVIEWED YES NO REVIEW DATE <br /> •� About*Fax loofa pati r.... <br /> Irmo- <br /> a coPhOM A rCt.73 3 O�fr/ 2aai. `i(O4 a.1 5 <br />