Laserfiche WebLink
04/05/2006 13:27 FAX 001/001 <br /> LATE RECEIVED S AIS , OAQ)ULN COUNTY ` <br /> iJ ll SLS 1"rl D� �E�'YIFU s`FD—) L TAL� + :ALT 1 EF&R ME'iT <br /> 3D4 E Weber Avc 3 Floor Stock-tor" CA 95205 <br /> c1 p ? f�9) 458-3420 Fax: (209) 454-0138 Web: wtiv v.co.sau-jaacl�:ia.ca.u_�1ehd <br /> ENVIRONMENT HEALTH I'T-BLIC RECORDS RELEk&E APFLICATION <br /> APPLJCANT:✓ �--�-- <br /> AZO <br /> r' S �r <br /> FHame- <br /> TENTATIVE' APPOtHTMF;NT HATE: 1 imp: <br /> �---- (Please allo-ja bsrsiness dayr:trom date of applicatlon subrnitt3l) <br /> t_._I Clit_cK BOX TO U. PEE)ITE REQUE'T.sg3 ooI EE,— EQUGST PROCE55 E0 IN S BUStNF-55 DAYS <br /> DATE ` ? <br /> SIGNATURE DF APPLICANT ��� t)ePlf�ncfilLf'a Only <br /> OWT <br /> FILE AODRGSS <br /> �-- lfnit 1 <br /> Z 9,ee1 <br /> ` Unit 3 <br /> - <br /> e. unit 4 <br /> ENVIRONMENTAL H TH DEPARTMENT Flt E5 <br /> UNIDO HOUSING ABATEMENT 14 541"10 W,NZTE FAC7UTY <br /> OTHER CLEUNO TANS((UST) LOP)CLEANUP SrCE I1t�1`� ❑ FOOD FAC1LCfY 0 S4i. D WASTE VEHICLE <br /> Q7rsER Gt FJ�UP srri= (NOtr�C)PI 0 DOG KENNEL IS-DrJRY <br /> C9 UIiDFp.GROUND TMtK[MOWTORINGIREMC)VAL} ❑ QHICKr-N RAXCH Z-FKG TREATMENT Pt-A.-HT <br /> Al] <br /> �L Kdzj1Ol3S WASTE GENERATOR kt4TE[JIic�Tt L © PUM€'f:R T UCKIYAF <br /> Q blGHF31�TC�tLC"rS <br /> d TIERED PERMITTF-D FACILITY Q POOLl5PA a LAND USE A-PFUCA11074 Srt*S <br /> * TAT7001W)Oy PIERCING 0 OTHER(PLEALE EFJ:ClFf) _. <br /> C3 MECFI!'...AL WASTE FAC111-'Y <br /> I List up to ten addresse.;i-.1 the space above, Select the t'ype(s1 of Flllt:tram the li:t ahave by ehecicln9 <br /> the appropriate box(e5). At least one fila t' <br /> ;ae MUST be selected. Fax.to 20 �6 �13E or n�aik to the <br /> address indicated at-ave. <br /> Z, EHO will notify the applicant if any EHQ files exist- An appointrncnt fur review will ba :days after receipt of appiir..atian.ion, e Th. fE i s <br /> approxiltlatsky five busineas drys but no Eater tlian tan ('10) e <br /> will be held for a maxirnurn of five busin¢ss days for review_ Pppointmen:> uhoLid be scheduled <br /> accordingly. <br /> a. A fife that is actively being worked on by EFtO ;teff may not be irnlnediately available for review. A nc`!! <br /> application may be submitted when the file is available' <br /> 4, Any file not returned in the same Goc7ditiOn as rciaas l r a ireZa � 3.f]O�dePosf k prior to P v ew. <br /> of the applicant. Future rile reviews by the san)Q app!ca.�ltmf Y Ter <br /> 5• ENTATIVE appointment dates must be conrirmed with EHD staff. <br /> 6. Applications received after 3.00 pm will be proce:.Led the next bz,sine,s day. <br /> pA�E -TIME <br /> :CON >RMFD,'aPRolr�T"r�ENT <br /> DATE EQNFIRMEt7 FAX <br /> TT <br /> r t t Q R EV I E`iV DATE <br /> �l E S - -.--------' .�- <br /> �'� <br />