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Jun 05 02 : 5 Hi. -lver Inc 530 ^442 1490 P- 1 <br /> ��T <br /> 491 7ENVIROWENTAL IlEa gl <br /> P �. n.. u"ac�s► YPUBLIC HEALTH SSR C10 m <br /> To pry 'AL HEALTH DIVISION 72a <br /> ca/Depl. co. tAVENUE,THIRD FLOOR JUN 0 5. 2002 <br /> PnoM, ;TON.CA 85202 <br /> `°x" RELEASE APPLICA�1 <br /> APPLICANT 1 r 1 _S ��lII�DBUSINESSIAGENCY � � v�� <br /> PHONE S"3o - 3 o - !1o. <br /> TENTATIVE'AMMTMENr DATE 0 ? TIME R <br /> (Please pine T t 10 bush a days from of appl, . t <br /> CHECK BOX TO EXPEDITE REC)U ST-;B9.E10 FEE-RE4t1Ic rs <br /> OCESS iN USINE S A <br /> StGNATURE OF APPLICANT r DATE r r Z <br /> FILE ADDRESS THIS SWE EHD STAFF LISP ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3131 7`► "�2 CQ ' cToCK <br /> Af-Co• 3 5-1q H A tj tl F7i' LN 6-• G!G F•1' 29 ZhA <br /> Jv' S L.N. ' C 5v <br /> S "-� <br /> ENVIRONMENTAL HEALTH DIVISION FILES ` <br /> XUNDEkROUNDTANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O GDLID WASTE FACILITY <br /> D OTHER CLEANUP SITE(HON-LOP) 13 FOOL)FACILITY ❑ 50U0 WASTE VEHICLE <br /> LAZARDO <br /> Rt31tOUND7Al (bAONITORINGIRt MOVALI D DOG KENNET. Q DAIRY <br /> US WASTE GEN11RATOR D CHSCKT:N RANCN ❑ PKG TRfrA7MEN7 PLANT <br /> ❑ q pERMITTEI3 FACFL}TY Q MOTE11H0rEL ❑ PujAPERTkUCKIYARDICHEM TOILETS <br /> 0 TATTOOMOOV PEIRCING ❑ pOOLJSPA ❑ LAND USE APPLICATION SUES <br /> ❑ MEDICAL WASTE FACILITY C3 PUBLIC WATER SYSTEM t3 OTHER(PLEASE SPECIFY AEDVEI <br /> 1. List up to ten addresses to the space above. Select the type(s)of files from the list alcove by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the <br /> address Indicated above. <br /> 2. END will notify the applicant if any EHD"les exist_ An appointment for review will be confirmed <br /> approximately five buslness days but na laterthart ten(10)days after receipt of application. Tho"les <br /> will be held for a maximum of five business days for review: Appointments should be•scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by END staff msy not be immediately available for review. A new <br /> appilcation may be submitted when the fila Is available. <br /> 4. Any file not returned in the same condition as roleasod will be reorganized by END stafr at the expense <br /> or tha applicant. Future file reviews by the lama applicant may require_ a$89.40 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be con rained with END staff. <br /> .5. Applications received after 3.00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME ' <br /> DATE CONFIRMED PHONE .FAX -INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> x <br /> ' I <br />