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07-23--"1 1 I'-01M FRCH TO G9��3 71� r.K2 <br /> _ . . (209)468-420 ^� 5 7S_ <br /> PUBLICAECORI)S RELEASE APPLICATION' <br /> APPLICANT rh,, C!, NICNelli11 BUSiHEMAGENCY R7RM, rSO:Yl'I r V�IHEt2G �c 7P <br /> ADDRESS 350-14ig r�� y�Avaz (�I. t�.�200, Sacramento, CA 95865 .� <br /> pliON!< 4,�.{? g-I4a1 FaCslaut� 916-927-3706 <br /> `C` rzNTATtVF_*A?rpINTMBNTDATE Qt11 TIME • <br /> {F*loasa give T w 1p ualtta►s o"rrvm date of Bpplicluon submitw) <br /> O CHECK Box TQ EXPEDITE RECUJEST -x$7.09 FEE—UMEST YROGESS Ri 3 BUSINESS DAYS <br /> SIGNATURE OF APPUCANT DATE .,j ' <br /> 01.1 o <br /> FILE AI>DRM THIS SIDE 0140 StAWME OML.Y <br /> PrtQGKAM LLEW{ 41S-SEARCH <br /> 574 �. DrarTt uie TXacy, CA I <br /> 1 <br /> 41 <br /> i <br /> ENVJRONMEMAL HEALTH DIVISION FILES <br /> X('( UNC;[�; $ROUND TANK(UST)CLEM11,P Slll;tIAW) n HOUSING ASATEMeRT -G SQL{p WASTd FA<4UT C <br /> a OTHER OLEANv?SITE(NON-LOP) : i 0 Foos FACILITY O SMTP WAM Vt HICLE <br /> = UNDERGRWNL)TANK(MOXITORSt•t(id;REMOVAL) Q 1300 KENNEL ❑•DAIRY � , <br /> C3HAZARDOUS WAST.A GENERATOR 0 CHICKEN RANCH U PKG MAT PLANT <br /> * 'nE!RED PERAMITTEQ FACIUrY Cl MOTELlHOTEL U.PUMPER TR ARWCNFiMTOILk'T`' <br /> Q TATTOWODYPI;IRCING C1 PaOUSPA •-` M L.MDVSE AYK1CAT*14SITES <br /> •O MEDICAL WASTE FACILITY CI PiI81410 WATER BYSTEII O OTHER(PL"SPECIFY AMVE) <br /> 1. List up La ten addresses'in the space above. Salect the type($) of flies from the list above by chacking <br /> the appropriate box(es),;At least one file typo MUST be selected. Fax to(209}_4"Mea ar mpli IQ W2 <br /> adraas inoirLl jd above. <br /> .2. ERD will aatlfy the App!J�ant if any END files exist. An appointment for roviow gilt be colnfirmad <br /> approxim'taly five business days but no later(than tits(10)days after rscolpt of appllcatlom-The flies <br /> will bo hold for a maximum of five business days for review. Appointments$hour be scheduled <br /> accordingly. <br /> 3. . A fite that.is actively bell.qg worKud on 4y ENC) staff may not be immediately avvftble for review. A now <br /> application may by suhrAIttgd when tite fila Is wvailable. <br /> 4, Any filo not returned In the same Condition as released will be raorganizod by EHD;Staff at the eXpQnSo <br /> of thoapplicalnt. Future fila reviews by the same applicant may require a$67.00 deposit prior to review. <br /> 5. ''TENTATIVE appointment dates must be confirmed with Efl)at{Iff. <br /> 6. APpllcWns recaived after 3:00 Pm will be pro CoMd the next businass day. <br /> 'CONFIRMED APPOINTMENT'IMTE �� TIME <br /> DATE G001Ri+llED PHONE FAX INITIALS: <br /> REVIEWED YES ! Lep REVIEW OATS <br /> em <br /> o. <br /> TOTAL. P.02 <br />