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V <br />05 02 :5 ver Inc 53M42 1490 • p.I <br />401 ENVIRCHMENTAL HEAL <br />xNoteL17,�a_ ®G9► YPUBLIC HEALTH SER%Q L' �� <br />'AL HEALTH DIVISION <br />spl. Co. t AVENUE, THIRD FLOOR JUN 0 5. 2002 <br />is TON CA 95202 01 <br />e7 <br />40M Peons r 9) 468-3420 <br />Vj TO Foxe RELEASE APPLICA- OMIENT HEALTH <br />APPLICANT f i/I aE S )"::7/CLP13USINESSIAGENCY 1— vtlL <br />ADDRESS H e iV D U �P—tZ_U& tto 0 '. ttt Cn CA <br />TENTATIVE" APPOINTMENT DATE <br />(Please glve 7 <br />CHECK BOX TO EXPEDITE RE <br />SIGNATURE OF APPLICANT <br />$e9.00 FEE - <br />rf-AIVwKW <br />1TIM 14 <br />of appil tan <br />! <br />DATE <br />ENVIRONMENTAL HEALTH DIVISION FILES JUN 11 '2002 <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 13HOUSING ABATEMENT <br />0 SOLID WASTE FACILITY <br />D OTHER CLEANUP SITE (NON -LOP) C3 F000 FACILITY <br />D SOLID WASTE VEHICLE <br />ZURDERGROUNOTANK (MONITORINGIREMOAL) O DOG KENNEL <br />0 CHICKEN RANCH <br />❑ DAiRY <br />❑ PKG TREATMENT PLANT <br />AARD OUS WASTE GENERATOR <br />eD PERMITTED FACILITY O MOTELlHCTEL <br />❑ PUMPERTRUCKIYARD/CHEM TOILETS <br />❑ TAT 001BOOV PEIRCING ❑ POOLISPA <br />❑ WATER SYSTEM <br />D LAND USE APPLiCATKNi SiTES <br />Ct OTHER (PLEASE SPECIFY ABOVE) <br />❑ MEDICAL WASTE FACILITY PUBLIC <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209) 484.0138 or mail to the <br />address indicated above. <br />2. END will notify the applicant if any END files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. Tlx: files <br />will be held for a maximum of five business days for review. Appointments should be,scheduied <br />accordingly. <br />3. A file that Is actively being worked on by END staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />4. Any ttte not returned in the same condition as released will be reorganized by END staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br />5. 'TENTATIVE appointment dates must be confirmed with END staff. <br />6. Applications recoived after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE. TIME <br />DATE CONFIRMED <br />REVIEWED <br />YES <br />NO <br />PHONE FAX <br />REVIEW DATE <br />:INITIALS <br />!J <br />"Al <br />A <br />