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- <br /> '+"rt '' +� <br /> II LNVIR a fury ; <br /> ENI1RONluIl=NTAL HEAL .1. :465-5 4 <br /> Tf1'sfepo�e fi0p East Mare St �EAtTj) <br /> l'6RMIT�!5ER1�lCES (2U9 468 <br /> St <br /> ?F 'UB [?$ ( )P ([3 <br /> �sT3�LIC RECdAPP1cgN ; <br /> ADDRESS: <br /> ti <br /> 0� <br /> , <br /> R=ELEa � t <br /> PHONE <br /> TENr�4T/f/E'gPPOlNT PHONE(2 : :CITY/S7q :y y <br /> (Plopae a+rnw to MENT DAT - <br /> buarnoa tsw, � <br /> CHFCK 60X T G days rn,m auto of aparrcation aubm+ x FACSfMlE <br /> S!G A URE OF O E"ODr7E R�QUES-V . <br /> APPLICANT 5122 F!E(CASH roar Tenr 7rne�.r, <br /> H OR CHt CK ONLY) tlAvB Only Rl4g' r"i{ pN ; z K7 <br /> tt Electro ) RE <br /> rtic into qUE } c4rn<rn;,gd <br /> crfiation: [�List St PFtQCt SSEp INS l .4s <br /> Map_Descrfptlan; eusiN� y { <br /> CA7E 'DAYS I <br /> streot aR PILE ADDRESS <br /> 'I. -�1�"'*�.►-1�---�Stnaet Hamo <br /> 2. �}�� Cid EH')USE ONLY <br /> R- <br /> 4. — Unit i <br /> 5. <br /> Unit 2 <br /> 7 <br /> Unit 3 <br /> nit 4' ti <br /> Speelf c Date'na!nge of lnfn ❑Unit 6 F <br /> rfiaUon Re }�, ( it <br /> UfVDE guested: From L� . <br /> RGROUND TANr(((js EIYVIRaNMEN7A <br /> QTHER CLEANUP SrrE CLE4NUP SITE(LOP) i'Nl:A H DEPA, nit a <br /> UNDERGROUND TANK (NDN.LO� Q HOUSING ABATEMENT MENT FILES <br /> NZARDOU5 (MONITORINGIREMOVAO ❑FDop FACILITY <br /> d Tl!RED PERMT StE GfN£RAT4R ❑UOG Q SOZID WASTE PACILfiYNEriICLE Ap <br /> ED FACILITY KeNNEL ffL�j WASTE'TrRE '`f] <br /> y❑T.ATToo/OoDY kFPCrNG ❑CNrCKEN RANCH U DAIRY 1Y� c+a. <br /> +pr MEIytGAL WASTE FACILRY j MOTEIIHOTEk r `-� <br /> ❑PooU/SPA W <br /> ASTEWATER TREATMENT PLANT <br /> WELL ANp SEPTIC P TRUCK/YARDICHEMICA <br /> 1 ERIV}rT RECOR08 ARE OTHER(PLEASE SPr CfFY) L TOILETS <br /> III OTHER <br /> F0A R {� . ©UIN USEAaP�r+;prlON SITES <br /> box(eaj. At least arte EVfr:W: DAY-FRIDAY <br /> flleln fhe apace above. Select rhe MOND RIDAY Scop aM s:oos.' .P � <br /> ranges will not be ecce tYAe MUST be aelectad, type(s)of flies fro ( xcLUdl <br /> 3'fla pnt will be Afed-far addltlonal a9619taFax m the list above b NO Ht7LroaYs) <br /> 2 The EHL) prQCeseed then 4 ii to Y checking the a <br /> will natlfy thea ext bualnoss day. nee w,�file addreaSes fhe addteae Indies pAroArlate <br /> aYs after rooelpt of a is Ilio nt if any EHD fil 'C4ntaGI the EHD. 'kpPlicatindirshsus. Address <br /> should be Scheduled acclu atlon. 6S exist, An appoinbttenf for review wHl be t:onfirtned ti '*Cetved after <br /> The/lies will be held for a rnaxltn. of fore eview I daysc fn <br /> 2' A file that la a nciirtgly, <br /> sub ctively being worker'artproxlmatel <br /> 'Witted when the file i by EHD staff r revlew. Y fen(10) <br /> 4• Arty fila not $available. may not b®lrnm AApolntntartta <br /> fiaturg file returned In the serne sdl$b31y avallabie for review, <br /> reviews by the same a Condition as released wll!he Teat Anew a <br /> AAllcant may AAllcattan may be <br /> Y require a$122 deposit Prior <br /> by EHD staff <br /> posit ANor to at the expense of the <br /> er,b USE ONLr review. applicant. <br /> eka+a-06 <br /> Z00/Zt70 oir2siio <br />