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Jun 05 02 _=: %W H er Inc 53C ? 1490 P• I <br /> \ 401a ENVIROMIENTAL HEACIT:F' 01 <br /> 7 <br /> V <br /> PositxNote L _o•• �,ol,► YPUBLIC HEALTH SERVJQ � �/ L� <br /> ,a Tran L` 'AL HEALTH DIVISION �� <br /> w�C.p1. Cal tAVENUE,THIROFLOOR IJUN 0 5. 2002 <br /> TON CA 95262 <br /> 9)468.3420 <br /> ♦ ut Fnr� RELEASE APPLICA' MIENT HEALTH <br /> nniT(cF ■ ■ � <br /> APPLICANT-I 1� /'��yBUSINESSIAGENCY_ �Yv� <br /> ADDRESS/(, H erto O 11 L3& l AJ /0 C) !�I cn C� <br /> PHONE -3 /Iela,E O - -(1 <br /> TENTATIVE'APPOINTMENT DATE tl 0 • TIME A <br /> (Plessa pWf 71 10b I s days from of sppilcyiort 'tan <br /> CHECK BOX TO EXPEDITE REOU;ST•Ses.00 FEE—REgUE OCESS IN (/SIGN/E s A J <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF Use ONLY <br /> PROGRAM ELEMENTS q�G • <br /> 3131 R C -N --rz cK ' STock .� <br /> 0 3S1 H FK LN E' CK n7 <br /> Q5 N a <br /> VU <br /> N <br /> ENVIRONMENTAL HEALTH DIVISION FILES JUN 11 , 2002 w ' <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 sOUO WASTE VEHICLE <br /> UNDERGROUND TANK(MOWTORINGIREMOVAL) D DOG KENNEL 0 DAIRY _ <br /> AZARDOUS WASTE GENERATOR D CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEUHOTEL r3 PUMPER TRUCKryARDICHEMTOlLETS <br /> 0 TATTOOIBODY PEIRCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to len 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)494-0138 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment For reviOW 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 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 reorganized by EHD staff at the expense <br /> Of the applicant. Future rile reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received alter 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 />