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02/11/2008 14: 013 FAX 1a002/003
<br /> 0 UN11Y
<br /> 1111-AIA-11 DF-PART'NIENi
<br /> NL6:1 Q
<br /> 15
<br /> 'I'VIt-phemc: C09) 4,!� Q,p:
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<br /> APrLICANT:
<br /> LW / 4
<br /> ........... ................ U F,IN E S S/AG F.N r,Y: V
<br /> cl
<br /> PliONG(1)" Z i PHO14E(2): —.-f'ACSIMILE 47
<br /> TEN TATIVE' ArPOINI MCN r DATE T.
<br /> -�w -Ane-i cl 'll'i
<br /> (Plow. allow 10 fjU fl, iL,141 5WbIT1jjtj3I-'Tentarivn only-mtlEt bc,confirmed)
<br /> 0 CIIECK BOY 1.0 FEE(( ASH OR CHECK.ONLY)-REQUFST PROCESSED ttl FVSI,'JE';s DAYS
<br /> SIGNATURE OF APPLICANT
<br /> DATE
<br /> ..................
<br /> Electronic Information: ;;Mist 2111&lep —Description:
<br /> . ................ ...........E1LE ADDRESS END USE ONLY
<br /> ............
<br /> Strec,Name
<br /> ....................... City
<br /> unit I
<br /> 70-0.
<br /> ..........
<br /> 2
<br /> 'D Unit 2
<br /> 4
<br /> T
<br /> 5 .......... .... .. ------
<br /> ...........
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<br /> nit 4
<br /> 6 4-z
<br /> -1 4.
<br /> 5740
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<br /> %0 El Unit 5
<br /> 8,r......
<br /> J1.
<br /> ...........
<br /> :qyq ................
<br /> Unit 6
<br /> Specific 13-ate Range of Information Requester!: FromY ".,i
<br /> re
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> 6596NDrRGROUNDTANK(UST)CLEArILIP SITE(LOP) 0. Houswc.AriA'TF;;,fF.t-4 I- 91,111OLII)WASTi.FACIL It YIVF HIC-LE
<br /> M; THER CLrANIIP q]Tr(NON-LOP) �Foon FACILITY !0 WA,-,Tr Tmr
<br /> ulqDrrGr,outm TANK(W10.1,41TORINWRI71,10VAL) r'Doc,KFNtJr-.L r'7 DAIRY
<br /> ,01-HAZARDOUS WAZI'LGENLI'-'AI'Uf;'. C1 GHICKLN RANCH 17-1 WAS TLV4A1 LRTRLAT1,11 N1 Pf.Afil
<br /> 17 Tmmm PErwITTED FAGILITY 0 MOM 11-101i[L M PLIY,.rcn TR0CK1YAktj1CHm,1 TuILLTS
<br /> I*ATTCJO1130rjY Pjl:'RCIN(; M P001 ISM LAND USF'APP'..ICA110N SITES
<br /> rr PALPICAL WAS UIF FACILITY t-.'0 Ift-R(PL E:A,';F!3,PP.r.IF Y
<br /> WR L AND SP-PTIC PLrmlT RLC MU".AReAVAILABLI?roR RF.VIEVV - MONDAY-FNI!,1AY 8:00 Am.-5:00PNI - EXCLUDING HOLIDAYS.
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<br /> 1, List uptotort;x1dresse%in tl-,.o spaco above. S0IQCt tho type(s)of tiles front the list above by chocking the appropriato
<br /> box(cs). At le.:IM one filo type MUST bo selected. F In,(209)464-0133 61'111,'.1ill tO the addfQ,,q indiCated above. Addrf:,*!:
<br /> ranger,will not bt,-?anceptod--for additional vvilkh file address os,contact the EFID. Applications received after
<br /> 3:00 pin will be processed the next business day.
<br /> 2. The EHD will notify the applicant if any EHO MO.% exist, An appointment for review will be confirmed approximately ten(10)
<br /> days after receipt ofapplic.1floij, The files will be field for a maximUm of five business days for review. Appointments
<br /> should be schadUlod accordingly.
<br /> 3. A file that is actively being worked on by EHD staff may not be immediatoly available for review, Anow application maybo
<br /> submitted whoa the file is
<br /> if. Any filo, not returnod in the same condition as released will big,reorganized by EI-iD staff at the expense of(III-applicant.
<br /> FLIturc file reviews by the same applicant 1110y I-CICILtire o$930.00 deposit prior to roview,
<br /> EHD USE ONLY
<br /> *�` 1[f you should aced further "' .5k,'tanc'e" pIca!,;f c o-n—1a c t------6-ianc, Mar,ti*n* 7f,- :@ (709)468-3425 directly. Thank You`*
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