Laserfiche WebLink
ROM : NOA Environmental PHONE NO. : 209 364 4228 Nar. 16 2000 10:05AM Pl <br /> SA�.40AQU1N COUNTYPUBL4CF3 \r aoLW F MDEF•V• ' <br /> ENViRaNiWENTgL HEALTH 01VISIONRVICES <br /> 344 EAST WEBER AVENue,THIRD FLOOR <br /> ST (209)46 .3 90Z)2 / y , �► <br /> PI SUC RECORDS RE LEAH vV <br /> Olq <br /> APPLICANT I ' - LEpiSE APPLICATION <br /> r tivalNtt yAot ncTI�1P ':1 Q <br /> ADDReSs 22. til. •t-�-j uS.��i 1,� A'yy'}�y� � ��-,.. <br /> PHONE 2,b 01 <br /> PACMIME — 4 2Z. <br /> TENTATIVU APPQIWMew DATE <br /> (Pib■■9tr■Ila 10 eualw.c a■T■Aon,Ebb M TIMaP{xicatlaff■abinlWq <br /> Q CHECK a,=To EY,PEWM REot1E3T-57,1.00>'"_KE <br /> DUEar PRD= <br /> sm INS RYSINSSS DAYS <br /> SIGNATURE OF APPLICANT <br /> ow DATE '�Ii(.��OD 'j /tit <br /> RLEADURMS <br /> aN <br /> 43s� ,c i <br /> 0 <br /> Z' E zw oe O <br /> EfMRONMI NTAL HEALTH DhnWON FILES <br /> %4UN0I1RGRCUND TANK JUST)CLGAmVP aTTG(WPI ❑ 40=42 <br /> AGATEMeNY ❑ _I\ <br /> OT�IZ CLEA"P SITE(NCNLOP)" 901JO WASTe FaC TY T <br /> UNDERGROUND TANK(at knop.&(WR 4 POOL FAQNEUTT <br /> FIALARDOUS wAeTR GtNERA'fOR �ADVgLa DOt'16tiNE{, O �m WASfE VEH <br /> ❑ TTIANREC PERMITTED PAculy NG 4 M fel D Pt(0 TREATNEItT PLANT <br /> ❑ TVZA W&S ZODy PRtRCILI 4 ❑ PUMPER rRUCWYARurCjwM TDO-£TM <br /> TtEViGLL WA+1')c FACLITY ���A Q LANU 1� APP <br /> fl PunucwAT�„R b�VSTEN a ttcATwH saes <br /> f• Liat tO ten ed OTW-R(PLEASE SPEC¢'y A9CVE) <br /> the uP dreeGes in the Sams above, S" 001 tho tyPe(e)of tiles trOM the list <br /> appropriate b-AiQx. At 16abt one foe type MU5T be s above by chocking <br /> aadrecs In------ai—r�trd rti4xC, elsetad. <br /> 2. EHD will notify the app;lcant N any END files exist An _. <br /> approximately ffve buxl"e S days but ne labor (10) day$a t for review wltI be cOnilrmed <br /> win be hold for a maxlmum of five buainess man ten(ie dove alter receipt of application. The tilos <br /> accorcUngy, days for review. Appo ntments should be scheduled <br /> 3- A Ole that Js�tivef bot <br /> aPplicauort y ni worked on by£tiO stall may not be Immodlatey avcllabie fOr rwriew. Anew <br /> may be In th Sa When the file Is avaggbb, <br /> C Any file opt+eturtted]n the same conditipn m relaesad will ba re"ardz d try E:Ho staff at the ox <br /> of[he aPPtlunt Future file raviews by tl1e aan.�a appliglnt may require a $7ry d obit rior <br /> 5• "YENTA;i I a of Denee <br /> G. PP rttmpnt d8tea must be confirmed with END staff. P to rrview- <br /> AppiicaUpn3 received after 3.00 m will p be procaesett tP.0 next bt»inus9 day. <br /> CONFIRMED APPoir4TME.vr DATE <br /> TIME <br /> DAT':CONFIRMED <br /> PHONE FAX INMALB <br /> REVIEWED <br /> YES NO REVIEW DATE <br /> C�Oapd[��L�D TI)TFL P.01 <br /> MAR 30 ?000 <br />