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, iu U Viri"U1N, .n.., 1 X10 :..,. ,. .,1 �_lu� U, <br />07,- \ 01 09�47f�'1 f �._..... TD 191685Jitibta <br />(209) 468-3420 <br />,JUL Ll 2001 PUBLIC RECORDS RELEASE <br />r APPLICAT10 <br />11�i RAt2C : <br />-i�'P41G [, <br />-ADARL'S's{"�a'R�s-c �—UR. Suter 4c� 1►cete► <br />NJ <br />PHONE 6410 >�& 3 t BCC= -_ _ _ FACsIMILJE L%(Q) <br />Ts;NTA.TIVE° APPOINTMENT DATE 3 U t»''t ' O ( TIME '• "'` • <br />/juL 2001 <br />(Please give 7 to 10 businpesss`` <br />s days from date of application submittal). "Mt <br />CHECKBOX TO EXPEDITE REQUEST -$a7• PEE- REQUEST l'ROCF_6E iN 3 all$INESS DAYS 00-4" <br />?Ali <br />"( - <br />.SIGNATURE OF APPLICANT ''� DATE `7 2.O t� <br />. __ _ •—_ - - - - — �41d«t o - ••I •-sem MV <br />ENVIRONMENTAL. HEALTH DIVISION FILES <br />a <br />UNDERGROUND YANK LUST' CLEANUP SITE; (LOP) 0 HOUSINQ ABATEMENT n SOLID WASTE- PACILMY <br />OTi•tER CLEANUP SITE (NON -LOP) IO FOOD FACILITY p SOL1D WASTE VEHICLE <br />® UNDERGROUND TANK (MONITORLNWREMOVAL) O DOG KENNEL O DAIRY <br />'L3 HAZARDOUS WASTE GENERATOR Ea CHICKEN RANCH 0 PKG TREATMENT PLANT <br />0 TIERED PERWrTE:D FACILITY O moTEL)HoTEL 0 PUMPERTRUCrARD/CIiEAA TOILETS <br />0 TATTOOlaOdY PEIRCiNG C) POOI.ISPA "'' fl LAND USE APPLICATION smss <br />0 MEDICAL WASTE -FACILITY IO PUBLIC WATER SYST9M ❑ OTHeR (PL A,SC SP19CIFYADOYIE) <br />:1. hist up,4b 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) 464=013$ or snail tQ the <br />address IndIcil2d above. <br />2. EHD will notify the applicant If any EH0 files exist. An appointment for inview will -Ae confirmed <br />approximately five business days but no later than 1en.(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 />3. A filo that Is actively baing worked on by EHD staff may not be iMMediateiy available for review. A new <br />application may be submitted when tho fiie.ls available. <br />R. Any file not roturned In the same condition as releakvU will be reorganizQd by EHD staff at the expense. <br />of the applicant, Future file revlows by the samo aiiplicant may require a $S?.Qb deposit prior to review. <br />5. "TERTATIVE appointment dates must be confirmed with EHD staff. <br />G. Applications received after 3:00 pm will be processed the next business stay. <br />CONFIRMED APPOINTMENT HATE TIME <br />'OATS CONFIRMED PHONE FAX lNi-riAL,S. _ <br />i2EV11~WED YES N4 REVIEWDATE <br />�' 1UIHL F. Ke <br />. ••YH <br />'SIDIE. <br />IS EHQ STAFF USIE ONLY <br />r r inti' <br />��, —1111,1111F. 1011M <br />rw1jil 11-11 <br />MUM J IM <br />ENVIRONMENTAL. HEALTH DIVISION FILES <br />a <br />UNDERGROUND YANK LUST' CLEANUP SITE; (LOP) 0 HOUSINQ ABATEMENT n SOLID WASTE- PACILMY <br />OTi•tER CLEANUP SITE (NON -LOP) IO FOOD FACILITY p SOL1D WASTE VEHICLE <br />® UNDERGROUND TANK (MONITORLNWREMOVAL) O DOG KENNEL O DAIRY <br />'L3 HAZARDOUS WASTE GENERATOR Ea CHICKEN RANCH 0 PKG TREATMENT PLANT <br />0 TIERED PERWrTE:D FACILITY O moTEL)HoTEL 0 PUMPERTRUCrARD/CIiEAA TOILETS <br />0 TATTOOlaOdY PEIRCiNG C) POOI.ISPA "'' fl LAND USE APPLICATION smss <br />0 MEDICAL WASTE -FACILITY IO PUBLIC WATER SYST9M ❑ OTHeR (PL A,SC SP19CIFYADOYIE) <br />:1. hist up,4b ten addresses, in the space above. Select the type(s) of files from *the List above by checking <br />the appropriate box(es)-'At least one file type MUST be selected. Fax to (209) 464=013$ or snail tQ the <br />address IndIcil2d above. <br />2. EHD will notify the applicant If any EH0 files exist. An appointment for inview will -Ae confirmed <br />approximately five business days but no later than 1en.(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 />3. A filo that Is actively baing worked on by EHD staff may not be iMMediateiy available for review. A new <br />application may be submitted when tho fiie.ls available. <br />R. Any file not roturned In the same condition as releakvU will be reorganizQd by EHD staff at the expense. <br />of the applicant, Future file revlows by the samo aiiplicant may require a $S?.Qb deposit prior to review. <br />5. "TERTATIVE appointment dates must be confirmed with EHD staff. <br />G. Applications received after 3:00 pm will be processed the next business stay. <br />CONFIRMED APPOINTMENT HATE TIME <br />'OATS CONFIRMED PHONE FAX lNi-riAL,S. _ <br />i2EV11~WED YES N4 REVIEWDATE <br />�' 1UIHL F. Ke <br />