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1 _ 10/15/2002 06:18 7074526 __ JEAN HUGHES PAGE 01 <br /> V 1 Tao`00I umm <br /> an ac <br /> SAN JOA4UIN COUNTYPUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION ) <br /> 1 304 EAST SWESER TOCKfON CA 982HI D FLOOR Il]I /0"r,I r <br /> (20)4883420 <br /> PUBLIC RECORDS RELEASE APPLICATIOWIT 1 5 2002 <br /> APPLICANT SUSINEWAO NICY <br /> ADDRESSq L4 <br /> PHONE -�-�IF,A_nO�a1MILE <br /> TENTATIVE*APPOINTMENT DATE 1 'W11/� (D I� ` TIME <br /> (FINN 01"j _7�' oflaaon wbmkhp <br /> CHECK BOX TO EXPEDITE REGUES •189./~00 FFEE-REOU T ROC 3 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> VFILE ADDRESS THIS llDa EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> N <br /> o <br /> ' N <br /> ENVIRONMENTAL HEALTH DIVI3ION FILES OCT 17 2002 <br /> .�! UNDERGROUND TANK(UHT)CLEANUP SITE(LOP) ❑ HOUSINO ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOD KENNEL ❑ DAIRY <br /> 'HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCWYARDICHEM TOILETS <br /> ❑ TATIOOISODY PEIRC NG ❑ POOLWA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY JelPU13UC WATER SYSTEM? ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the typs(s)of files from the list above by checking <br /> the appropriate box(so). At least one file type MUST be selected. Fax to (208) 464-0178 or mail to 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 later than ten (10) days after recalpt 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 fife 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 file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganised by EHD staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment 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 /> C <br />