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Public Health Services Environmental Health Division <br /> HOUSING ABATEMENT PROGRAM <br /> ENFORCEMENT CHECKLIST <br /> NOTICE AND ORDER TO ABATE <br /> 1. o- 0 1 Date Complaint Received and Complaint No. O 7 7-7 <br /> 2, ^ j 0-a1 Date Notice and Order to Abate Posted <br /> 3, (J -31-61 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, -QN Date Entered into SIERRA System and HR No. 0 t <br /> 8, ��-�. Date Title Search Ordered 1 <br /> 9, O Date Title Search Received 1�0 1� to Owner with Cover Letter, Appeal Forms, and <br /> 10 Date Notice and Order Mailed Certified <br /> Lead Hazard Notice Ivulot <br /> l l. Date Notice and Order Mailed Certified to Beneficiary(ies)with Cover Letter,Appeal Fomis, <br /> and Lead Hazard Notice ��' 1 � <br /> 12. ^Date Notice of Abatement Action Sent to the Office of the Recorder through the EHD <br /> Accounting Office <br /> 13. Date Septic Tank Destroyed and Permit Finaled (Mark N/A 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 we <br /> 16. __ Date Notice of Abatement Received from office of the entRe o corder <br /> Date Recorded <br /> 17, Date Abated: No. of Structures Demolished <br /> No. of structures Repaired-___-- <br /> RENS Staff Signature Supervisor's Signature <br /> APPEAL OF NOTICE AND ORDER TO ABATE <br /> 18. Date Appeal of Notice and Order Received <br /> i9. 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) les and/or A ellant(s) <br /> 24, Date Resolution Mailed Certified to Owner(s)Beneficiary(' ) pp <br /> 25. Date Septic Tank Destroyed and Permit Finaled(Mark NIA if no septic tank) <br /> 26. <br /> Date Well Destroyed and Permit Finaled (Mark NIA if no well) <br /> 27•� Date Out of Service Well Permit Obtained (Mark NIA if no we <br /> 28, Date Abated: No. of Structures Demolished <br /> No. of Structures Repaired _ <br /> REHS Staff Signature Siperti'isor's Signature <br /> page I of 3 <br /> EH0008A Rrvised 9-14-00 <br />