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10/17/2002 15:10 _ 31067" �4 PETCON TECH It PAGE 02 <br /> 10/16/2002 15: 48 2094683433 FIFTH FLOOR PAGE 02 <br /> SAM=E REQUE5I <br /> Type of Busln�rs or Property 10 9 SFIRViCE REQUEST$ <br /> Cf} CC� � 7� , c -32 `3 � S <br /> owNL'R r oP.Ftnro � BIwNG PaRTY c <br /> WeS �a� �uc,� LLC L <br /> F.acluN NAPE y- <br /> 9imADWSS rW u (/7 tS� AIn <br /> dcoM ►n S�- <br /> 6vtRMunn T arr4Y <br /> Malltng Address {If DMerent Isom Site Addresst <br /> CcrY STATE Z? <br /> PHOHEV ar AP14 L+T1pU5EAPPtICATGu <br /> PHONE� �. Cas❑tSTA}CT. L4CATION.000!< <br /> CONTRACTOR r SERVICE REQU£SfOR <br /> RFnuesTart f 1 t 1-en --Far Bn P <br /> Buscot S5 NAME l �CCV1 �iV1 v1 f�1. l S I PH(0$ _1 . ,q Ct ( lxr <br /> M ; <br /> �I �' F� <br /> .vu .P.=URa & '-+ <br /> w o r► STATE clo� llp q p 7 <br /> gj� %G ACKEMUDG MENT:t the urcersxr'd propery or h mInms owner,cpantar or aumortred vgeat of same,advrow,6d9a mat an eua andla pro 3Fe 6c <br /> Pt18LY rIg U rx SFn�VICES t Nv anNNr t2N FEFILTH 6Nt51Ctr hourfy Ch3rgGt assoaste4 ri S i':i+m—ff(ct cr=vtty veli be billed to mo qr my business a5 iden2Q on Cis:omt. <br /> I atso cetf hat 1 have prepared bra apFGeadw and IM the wore to be Nriort,xd w2 be Cone fn accrontanco with all SAN XAQu(+CourrtY 0enencn Codas S13rdarAATZ and <br /> FEOErut.laws. <br /> ra <br /> ArP� xr SIGruT<w5: DATE: �d / 2,- <br /> PFOPE.ATYI 846NESS t.WWR ❑ QPWATCR I hVliA,;ER Q URE.RA -i,ccT;=AazsT ❑ <br /> ,raPR�s nrtls au.�P,�•ry p�oof MauCr�t+tibn m 441h r+w►.d r,r rs <br /> AUTN4R��TpN TI BEkgE SE It�FQRMATICN:Wrt.en epWrt hfe,L bre owner Qr om=r of the prop"loratsd at dte above&he jddress,hereby aurhor¢s the Of <br /> any and atl resuRs.9eoffiatniwt data Ana(ar erraroa.:eytraUs to a3sessmern hfertnadon m Cao S+N JaA +CCUHTY Pia+C FtFxTsy SF x s&a P NENT H6AL-M OprtS p as 1" <br /> as it is avaaaWe and at Ina same tone it a prm&-d to mt1 or my raareWrtaS'A- <br /> TYPE OF SETWE REQUESTS : CVj o-l' <br /> caMraerrTs: _ ����E� <br /> �E <br /> 4P <br /> SAN JOAQUIN CC)VVAV <br /> 10ES <br /> ENVIRONME SPL EAMH DI`JISl7t; <br /> IH$pfL79 R'S 31Of+ATtrR� C,ONIRA4TOR'S IGw1TURf: <br /> APPROVED aY: Ewt„^T=I DATE: �r 7 2 (► �2- <br /> A.ssIGNFD To: £YPLCYCE 0; DATE: <br /> Data Service ComPlettd (rf already complcbrd: CoQE P/E: (p <br /> Fee Amount `� Amount Paid If'_; '� - Payment Date jo(�-�jO v <br /> Payment Type Invoice# Cheek S 'I 0 Received sy: <br />