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ra..171:1 <br /> lE P1501 tip _ GEOCON - EAST BAY _ .. PGE 02/0 <br /> OAQUYN COIJN•,[•y \1 <br /> ,� smi <br /> EN IRONMMMAL <br /> •304"Weber Ave 3"° A S�DEkART1V,�N'>C <br /> ktM CA 95205 <br /> QCT( 3420 Fmc:(209)464-6138 Web:.V"M.cO.sRIi j°a4uin.Mus/chd <br /> f 1 _I4 t fiJBLIC RRCOLDS RIMLEASE A►FFLICATION <br /> APPLICANT: euSINERs�AOf3NCY: <br /> Asa• r� <br /> FACSIMILE: -•- <br /> TRNTATIM APPOINTMENT DATE: r <br /> Tlms: <br /> (MIM"IAIIoW 10 bWneaR days from dab or appUcatton 11ubmlWq <br /> CHECK BOX To OMEiDITE REQUEST-$WAD FEE„ gap 3 RUSINESS DAYS <br /> •81133NATUPtE OF APPLICANT DATL' 00-0 <br /> Dow.h.ent Ub 0* <br /> -77 ' FILM REe' UM <br /> G p b � ❑ UI'tR 1 u "ir7 <br /> r <br /> a ML Cl Unit 2 <br /> aQ -V <br /> CAY <br /> GO � <br /> It <br /> ML C). Unit 5 <br /> 0. r Q <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDEROROUND TANK(WT)CLEANUP SITE(LOP) 0 HOUSING ABATNMENT Cl SOLID WARTS FACR„ITY <br /> oTHM OLEANUP SM(NONAMP) O ROOD PARILITY G SOLID WASTE VEHICLE <br /> O UNDERGROUND TANK(MONRORINGIREMOVAL) Q POO KENNEL O DAIRY <br /> O HAZARDOUS WASTE ORKRATOR O CHICKEN RANCH Q PKO TREATMENT PLANT <br /> C TSD PERMITTED FACILITY O MOTELJHOTEL CI PUMPER TIMIMAWNOHEM TOS-E'Ite <br /> C TAT11001NOCY PIMM D POOLISPA D LAND USE APPLICATM*n= <br /> 13MEDICAL WASTE FAdUTY C OTHER(PLEME <br /> 1. List up to ten addresses in the apace above. Select the type(s)of files from the list aboyo by checking <br /> the appropriate box(es). At leastt one Elle type MUST be selected. fax to(M x184 0 3B or m@1 to the <br /> add�6s ittd'cated ave• <br /> 2. EHD will notify the applicant if any AND files rxisL An appointment for review will be confirmed <br /> approximately fire business days but no later than ten(1 O)days afbsr receipt of appOcOon. The files <br /> will be held for a maximum of.five business days for review. Appointments should bo xohoduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD statff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the some condition as.releasai vAll be reorganised by kHD staff at the expense, <br /> of the applicant. Future file reviews by the soma applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVA appointment dates must be confirmed with EHD staff. <br /> IL, Applications received after 3;00 pfn will be processed the next business day. <br /> CONFIRM - <br /> !~D�APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONt FAX ' INITIALS <br /> REVIEWED YES NO REVIEW DATE _ <br /> �03 <br /> t <br />