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i`■ w <br />60 UN <br />eft <br />,: HEALTH <br />1, EAST WEJBIERFLOOR <br />f ► i <br />468-U20 <br />PUBLIC RECORDS. P . <br />ENO LOG NUM4ER <br />61 oz <br />FACSO41LE �. C? ry - 1j 4 % 8 <br />TENTA:f VE" APPOIINTmENT DATE 'n" <br />{PUMse give 7 to 10 bushms9 days from data of application 3ubnvitaq <br />CHECK BOX TO EXPEDITE REQUEST - $87.00 FEE - REQUEsT VR $SSD W 3 HiJSINF.SB DAYS <br />SIGNATURE OF APP[.ICANT <br />DATE za 2" I <br />TM stet: EHD STAFF Ut OINL1 <br />PROGRAM ELEMENTS SEARCH <br />,.' ENVIRONMENTAL HEALTH DIVISION FILES <br />� sJ:Nl{DgRGROUND TANK fusTi CLEANUP Sffg (LVP) <br />auTEt C LEANUP31TE (NON -LOP) <br />NOERGRQUNO TANK (MOlIrMRIKQREMOVAL) <br />Qr'�AZARDOUS WASTE GENERATOR <br />4 TFEREDPERMITTM FACILITY <br />13 TATTOOIBQDY PEIRCtNG <br />r1r'MF131CAL WASTE FACILITT <br />Q HOUSING ABATEMENT <br />2(SOL.Ft1 WASTE; FACILITY <br />G FOOD FACAJTY <br />V --i i <br />5"qo <br />N. <br />lit. <br />1411n 194- <br />( cn#t.r- <br />S� t- <br />S'i'. <br />0 PKG TREATMENT PLANT <br />R M07ELJHOTEL <br />C3 P60LlspA - - '- <br />Q PUMPER TRUCIQyARtJV HEM TOILETS <br />0 LANJO USE APPLICATION SrrES <br />0 PUBLIC WATER SYSTEM <br />0 OTHER (PLEASE SPECIFY ABOVE) <br />DATE za 2" I <br />TM stet: EHD STAFF Ut OINL1 <br />PROGRAM ELEMENTS SEARCH <br />,.' ENVIRONMENTAL HEALTH DIVISION FILES <br />� sJ:Nl{DgRGROUND TANK fusTi CLEANUP Sffg (LVP) <br />auTEt C LEANUP31TE (NON -LOP) <br />NOERGRQUNO TANK (MOlIrMRIKQREMOVAL) <br />Qr'�AZARDOUS WASTE GENERATOR <br />4 TFEREDPERMITTM FACILITY <br />13 TATTOOIBQDY PEIRCtNG <br />r1r'MF131CAL WASTE FACILITT <br />Q HOUSING ABATEMENT <br />2(SOL.Ft1 WASTE; FACILITY <br />G FOOD FACAJTY <br />5K3OUD WASTE VEHICLE; <br />CI DOG KENNEL <br />b DAIRY <br />13 CliI AMN RANCH <br />0 PKG TREATMENT PLANT <br />R M07ELJHOTEL <br />C3 P60LlspA - - '- <br />Q PUMPER TRUCIQyARtJV HEM TOILETS <br />0 LANJO USE APPLICATION SrrES <br />0 PUBLIC WATER SYSTEM <br />0 OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the types) of ales from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 4fi4-Q138 or mail to the <br />address indicted above <br />2. EHD will notify the applicant itany EHD files exist. An appointment for review will be Confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <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 EH13 staff may not be immediately available for review. A new <br />application may be -submitted when the rile is available. <br />4, Any file not returned in the same candltlon as released will be reorganized by EHO staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $87.00 deposit prior to review, <br />5. IrMNT,ATIVE appointment dates must be confirmed with EMD staff. <br />6. Applications received after 3:00 pen will be processed the next business day - <br />CONFIRMED APPOINTMert DATE TIME <br />DATE CONFIRMfEW PHONE FAX INITIALS <br />