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Z. '(x--&—I ~ Y1111'J.Y 1�Inlili <br /> m3-16-zvYza a9�13:M FnO� ��.�.5 <br /> �j SAN IR riMENTCOUNTL KEIA HEALTH ; <br /> I ' ;��_�IL;) ENVII30KMlrNTAL HEALTH DfVISION <br /> 30q EAST WEBER AVENUE,*I FLOOR <br /> 01 STOCK-roh GA 95202 <br /> (209)465-3420 <br /> cP,LTH PUBUG RF-COMS <br /> RELEASE APp1.fCAT10N <br /> � <br /> L15APPQ <br /> I '. <br /> l Q t f 4 <br /> d ADDRESS <br /> ju UJL4 - GZaU FACSIMILE <br /> PHONE <br /> a.1Pdn lr a I—;! _I lI` -ME �G <br /> TENTATIVE"APPOINTMENTDATe sfrom data otap, 11c floc sulamltSaq <br /> (P19a5a$1ys 7 N 70 buslResa <br /> ay <br /> CHEC 13OXTOEAFFDRE REI•S`r&.00 PLE-REc/lyE5I PRDCRSSEP 1N3BUSINESS DAYSDATE <br /> slaNAT REOF APPLICANT <br /> THLS SIOE EHD STAFF USE ONLY <br /> PILE APDRESS PROI ELEMENTS SEARCH <br /> _ -{h 3s, zg 929.G U .✓�i, _._...I <br /> l 2c� r <br /> f//c <br /> .1LJ <br /> ia?� t Jit- _ <br /> ag,5 3 <br /> ENVIRONMENTAL HEALTH DIVISION FILES ,�= <br /> y f <br /> C7 HOUSING ABATEMENT P SOLI4.WASTE FACILITY <br /> , UNDjE ROUND TAM<(UST)CLEANUP SITE.(LOP) d FOOD NG ABTIIlTY 13 SOLID WASTE VEHICLE <br /> OTHEt4 CLEANUP SITE(NON-.DP) CD WD iC1NEL d DAIRY <br /> UNDEr}OROUND7ANK(MONUORINGffkD'OVAL) CJ DOGK�'N RANCH ❑ PKG T7TFATMENT PLAttr <br /> HAZARDOUS WASTF GENMATOR p PI ICI(MM AKTEL CI PUMPER TRUGWYARU(CHEM TOIL.EI5 <br /> T1>; <br /> LED PERMITTED FACIUTY ❑ m0TEQKA ❑ LAND USE APPLICATION SITES <br /> CI TATTo�aODY PF]RCING Ct PUBLIC WATER$YSTEM O OTHER(PLEABfi SPECIFY ABOVE) <br /> MFDICAL WASTE FACILITY <br /> 7. <br /> List up to tan addresses in the space ahave, select the type{s)of files from the Hsi abovef3b�alheci M <br /> the appropriate box(es). At feast one file type frtU3T be selected. Fa 2tl9 <br /> address indLcded abOvO, intment for review will be Confirmed <br /> 2. EHD Will notify the applicant if any EHD files RXlSt An (10)&PPs after receipt of application, The files <br /> approximately five bUgIness days but no later than ten{KD)day ointments should be scheduled <br /> will be held for a maximum of five business days for review. App <br /> accordingly, y y available for review. Anew <br /> 3. A file that is actNel being worked on by EHD staff may not be immediately <br /> application may be submitted when the file is available. <br /> q. Any the not returned in the same condMon as released will be reorganized by FHD staff ut the expanse <br /> nt May'TENTATIVE appointment tfutfile <br /> revtt@s must t by e {re 8 wilGa <br /> th EHD ctareff.require a$75.00 deposit prior kv revfaw. <br /> 6. <br /> 0, Applications rece'Ived after 3:00 pm will he processed the next business day. <br /> CQNFII'�2MED APPOINTMENT DATE TIME <br /> DATE GDNFIRCAED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> 00°4 TOTPL P-02 <br />