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sAM �QUIN GOUNTYPUBLIC HEALTH SVICES <br /> Is����/IIID; , <br /> �NViRONfrr1E;1�'TAL HEALTH DNIS;GV, � <br /> j 04 EAST WEBER;.VENUE,THIRD FLOOR 91 <br /> OCT 0 6 2000 S7OCKTON CA 95202 <br /> 5 <br /> ENS IRUf`lMENT HEALTH <br /> I (las)46&3420� Pt18L[CR�.COF�US f�ELE,4S� APPL[CAT[Ol+� <br /> ,1I <br /> gpPUCANT T� t�K Uc�� -BUSINE3WAGENCY 1 <br /> 2L CJ -.000 I FACSIMILE- <br /> I <br /> TENTATIVE"APFOHNnNENT]DATE (p I [4J l W TINE 4 C� <br /> (Please 9"rve T to 90 business eays from dato of appllgGon wbrnittal) <br /> tr-t <br /> !--i CHECK BOX TO F-XFEDrTE REQUEST-587.00 FEE--REQUEST PROCESSED IN 3 BUSINESS DAYS t <br /> SIGNATURE OF APPLICANT DATE lc�c3 <br /> i <br /> Ft ADDRESS THIS SWE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I <br /> ! 1'Df71 Q AYL Yf r - <br /> I <br /> I <br /> I <br /> { I <br /> y <br /> E NVIRONNIENTAL HEALTK DrVISION FILES <br /> VAA�/UNP AtIK(UooT)CLEANUP E(LOP) O HOUSING ABATEMENT WSO!]DYASS FAC1Y1 }�NDERGRO <br /> E3 SOLId WRs"TH=VEHHCLE <br /> tPi�� NCI <br /> TKER cLEAUP SITE(MON-LOP) 0 FOOD FALITY <br /> NDERGROUND'TANK(MiDNffCRINGlRE VAL) 0 DOG KENNEL O DAIRY �. <br /> }HAZARDOUS WASTE GENERATOR IQ CHICKEN RANCH Ir PKG TREATMENT PLANT <br /> 0-TIERVppERuiTTEDFACILrTY 0 MOTEI-AiOTEL . 17 PUMPERTRUCKfYARD1ChEmTDILET5 <br /> 0 T'ATT001800Y DEIRCING , ❑ POOUSPA ' Ga LAND USE APPLJCA-nON srTEs <br /> 6 MEDICAL WASTE FACILITY "Cl PUBUC WATER SYSTEM la OrrHH=R(PLEASE 5PECLFY ABOVE) <br /> List up to ten addressas in the space above. Soled the types)of files from the list above by checking <br /> the appropriate box(es). least one file typo MUST be scleGted. Fa:.to 49j 464-013t or mail;a the <br /> address indicated at>oy_g� <br /> 2_ EHD will notify the app ica f if any EHD files exist. An appointment for raviow will be confirmad <br /> approximately five busin"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 /> $, A file that is actively being 1 orked on by EHD staff may not be immediately available for review. A new <br /> I application may be submit d wtmn the file is available. <br /> 4. Any fiIQ root returned in the same condition as released will be reorganized by EHD staff al the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> S. (TENTATIVE appointment utas must be confirmed with EMO$Aaff- <br /> 6. Applications received after(3:o0 pm will be processed the next business day. <br /> Ic <br /> FON <br /> FIRMED APPOINTMENT DATE TIME <br /> ;^�'lF1RMED PI.1(?iV� FAX •Iir MALS <br /> 1 - - <br /> EVlE4h'Ea YES id0 REVIEW DATE" <br /> ! t oo a aritrroo ; TOTAL P.02 <br />