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ENVIRONM1ENTAL 1-IEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD F1S)OR <br /> �l ubld oil 6A Y��u <br /> APPLICANT�`��. �LZ�/d}'� �HUSlNESSlAGEN(.•Y�l�c <br /> ADDRESS,a27 (V_e_w ,,e_7 -..A t" r - tis f_ 'a r• . +au..4 .'—�" <br /> TENTATIVE`APPOINTMENT DATE / R - J�iZ® YINIF <br /> (Pleasno Diva 7 to I busirnneeSs' <br /> Xie <br /> d(aayi ffmrodate of ap Ilcatlonnssubmittal) <br /> ECK BOX TO EXPEDITE REQUEST-$7a-cu FEE-REQUEST t'RO�ED 1�F3USlNF S!,DAYS <br /> l <br /> SIGNATURE OF APPLICA DATL <br /> FILE ADDRES5 <br /> I <br /> p asp s 3 <br /> 3 <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ;NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> O� THER CLEANUP SITE(HON-LOP) ❑ FOOD FACILITY Cl SOLID WASTE VEHICLE <br /> UNDERGROUNO TANK(MONITORING/REMOVAL ❑ G KENNEL) DO ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEIJHOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS <br /> 0 TATTOOjsODY PE•iRCING Q POOLISPA ❑ LAND USE APPLICATION SITE$ <br /> ❑ hiEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or m 'I t9 the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no tater 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 EHD staff may not be immediately available for review. A new <br /> application may be submitted when the fife is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$78.00 deposit prior to review. <br /> g. 'TENTATIVE appointrpent dates must be confirmed with'EHD staff. <br /> 6. 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 /> VI 00 14 41/051 O <br />