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Jun 05 (32 : 5 K—over ..Inc 530:7" 42 1490 P. 1 <br /> EIJVIRQtJNEhI"fAL HEAT. � 01 <br /> P xNote 76 & o ' �,► YPUBLIC HI_ALTH SER � C U� <br /> TO From c.. AL. HEALTH DIVISION I <br /> l:olDept. co. t AVENUE,THIRD FLOOR JUN 0 5. 2002 71 <br /> d TON CA 95202 <br /> pnom} Pllonc r 9)466-3470 <br /> " F""" RELEASE APPLICA 1 � 1EN HEALTH-0 <br /> k <br /> APPLICANT f I FK4F S y:fI !-1612BUSINESSIAGENCY ! <br /> ADDRESS H erm <br /> PHONE 12-313 ' IMILE NIM <br /> hI <br /> f <br /> TENTATIVE"APPOINTMENT DATE O 7 TIME <br /> (Please glue 7 t 10 busIn s days from of appll4o4 <br /> s t <br /> i <br />� CHUCK BOX TO EXPEDITE REQU ST-:89.1)0 FEE-REQUI~ OC <br /> ES I1E USINE S A <br /> SIGNATURE~OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USI?ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 3 13 1 RC Y S ToC>c <br /> 3 S1 HLN GK I� 29 <br /> ry 10. s uv • S:, <br /> ENVIRONMENTAL HEALTH DIVISION FILES ` <br /> 3 <br /> XUNDERGROUND TANK(UST)CLEANUP SITE(Lop) El HO17 USING ABATEMENT l3 SOLID WASTE FACILITY <br /> D OTHERCLEANUP SITE(WON-LOP) FD04 FACILITY In SOLJD WASTE VEHICLE <br /> UKdEROROUND TAMC{�lONrrORiNG1REMOVALI 0 006 KENNEL la HAIRY ' <br /> y��{ C7 CMCKFN RANCH tj PKG TREATMENT PLANT <br /> /`� AOERbOUS WASTE GENERATOIZ O lIAdTEl1HOTEL ❑ pgyIPERTRVCKryARD1CHEM TOILETS <br /> TIERED PERMITTED FACtiITY 0 P00USPA 0 LAND USE APPLICATION SITES <br /> 0 TAYTOO/800Y PEIRCINCyp PUBLIC WATER SYSTEM <br /> 0OTHER(PLEASE SPFCIFY ABOVE) 1 <br /> C3 MEDICAL WASTE FACILITY , 1 <br /> 1. List up to ten addresses In the space above. Select the types)of files from the list atsove by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464.0138 ormail to the <br /> address Indicated above. <br /> 2- EHD will notify the applicant It anyHU Files exist- An appointment For review will be confirmed <br /> ays after receipt of <br /> w lrbe held for avmax(mum oe business f five businesays but no s baer ys foran erevlew�Appointments should pbe scheduled files <br /> s <br /> accordingly- <br /> 3. A file that Is aatively being worked on by EHD staff May not be immediately available for review. A new <br /> applleation may be submitted When the flla Is available- <br /> 4. Any File not returned in the same condition as releaSOCI will be reorganized by END stafr at the expanse <br /> of the applicant. Future file reviews by the same applicant may require a$99.00 deposit prior_to review. <br /> 5. *TENTATIVE appointment daios must be confirmed with END staff. <br /> B. Applications received atter 3:00 pm Will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. '' TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YI;S NO REVIE=W DACE <br />