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06/13/2006 14:58 FAX 001/001 <br /> COUNTY <br /> L)A- SA. 'DE IMBINT <br /> —n Floor S k 95205 <br /> '3 , tocjzton,C. <br /> 'V 304 E WI-bcr kvc <br /> RD E C ya)c: (209) 464-0138Web-.NV%VW-00-Saa-j0aqU'D'-=Uj <br /> (2og) 4-8-3420 <br /> ela <br /> jUA 1 3 L006 PUBLICS RDS PT LEASE -kPPJ-'1C-kT'0N' <br /> P E R N11 I T/,;EE-A,"F54 <br /> C-�, susit4ESSIAGENCY; <br /> Appuc.hNT: � <br /> S— FACSIMILE: <br /> PHONE: Time; <br /> TF-NTATIVF-*A"aNTMENT DATE'--ir- �() <br /> (pjQa'.e allow jo buslne-=dayS from dale of application sut)-ni=11 <br /> CHECK SOX TO EXPED(TE REQUEST-221-00 FEE-rQUES' PROCESSED IHS BUSINVSS DAYS <br /> DATE —iiLZLU�i— <br /> ,-IGIAATURF-OF APPLICANT e.%30M%Cnt use Only <br /> UN(T <br /> FILE AADFcfiSS <br /> , <br /> C3 Unit I <br /> 2. z.:'7�K i Unit 2 <br /> 31, suvet <br /> -41 <br /> 4. 2 ".'qJdLb Unit 3 <br /> 4 <br /> C'""", 1 <br /> Unit <br /> 0_ Up <br /> i J He <br /> 2- <br /> U U <br /> nit 5 <br /> AP-if SAr GN <br /> FILES <br /> ENVIRONMENTAL IiEALTH Dr=?ARTMENT <br /> St SOLID WASTE FAC)LrlrY <br /> CLEANUP SITE(j_Of) 0 HOUSINC,ABATEMENT a S4DLlO WAS-1 0 Yr=WC''-f- <br /> C4- UHOERGROUND TANK(UST) 0 FOOD FACILMY <br /> {NOH 9i OTHER CLEANUP C3 DOG KENNEL 49.DAIRY TMENT MMT <br /> g� U14C)FRr 3-Pyr.TRFA <br /> ,.pouk4D TANK(MONITORINGIREMC 0 CHICKEN Pv%MCH DICHEM 101LET3 <br /> HAZAR136US WASTE GENERATOR [3 MoTrZLjMOTF-:L C3 pumpEP TRUCKrfAF- <br /> a TIERED prRMrrM FACILM 0 poOLISPA 18 LMO us:-z APPL)r-amom SrT-S <br /> Ez TAT-roc-moat'PIERCING C3 OTHER tPLEALF <br /> 0 MED1(-';-LWAsTE FACILITY se frora the list zboye tY Checkltlg <br /> . Selec! the VjPe(s) of file § Of mall to t!e <br /> -as in the space abotype <br /> e -013 <br /> 1 List up to tan address, pe NIUST be selected, Ea_x <br /> the apprOprlatc t3Ox(L!;)- At least one rile ty <br /> address indicated aboye�w filmed <br /> if any EHO file: e--i--L An aPPO'n"'-"ent for review will be on The fi�,'-S' <br /> '�7 r receipt Of aPPiicat'on' <br /> 2. TE6 will the 2POCant <br /> proxirnately five busine sS days but no liter thzn ten (10) days 4fte Wled <br /> Qw <br /> 2p Appoin,ments shotild be sched <br /> will be held for 2k maximum offive businesS days for revi <br /> accordingly.actively being worked on by SHO staff May not be Immediately available for review- A nf;'W <br /> A file that is act d when the file I!; availible, <br /> application may be submitted nized by F.HD staff- at the exP0nSL' <br /> returned in the same condition as released will be rearg-a <br /> 4. A,,iy file not Future file rev by the same applicant may require a $93.00 deposit PdQr to fQylew' <br /> of the appficanL E.1-1 0 staff, <br /> -TENTATIVE appointment dates must be confirmed with day. <br /> A,pplicatio6s received after 3:00 pm will,be processed the next business <br /> .--.C'0NF1RMED-MPOINTMENTIOAT.5.-I, <br /> - S <br /> NFT <br /> FAX -,- <br /> 9D <br /> 'DATE C0 iq-F�l RIVA — <br /> YES NO <br /> F <br />