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06/10/2003 17:58 9252836121 AEI CONSULTANTS (:;F)_ - 'PAGE 01 � <br /> Il <br /> 0b/69/2003 58:28 8640139 ENVIRON ENTAL HEAL' PAGE 22 <br /> SAN JOA,QUk COUNTY <br /> ENVIRONMENTAL. Hr;A;-TH DEPARTMENT <br /> JUN 1 1 2003 304 EAST wEDI:R AVENUE,THIRD FLOOR � V <br /> STOCUON CA 95202 <br /> ENUf R() M E IV i ri���1 (20 1)468-3420 <br /> P r3 r;,,�1{�r� _PUBLIC RECORDS REI I��PLIC<ik711ON..��-�W� <br /> 7�-JAPPLICANT r , 9USINIMIVAGENCY D�# <br /> ADDRGW 2!5LO "ac�l 0 y1la-kNI Caek XA ra� <br /> PHONE-12-5 `7. (�-�-. T FAC51l�lll f: � i] �s'7— U } <br /> TENTATWEeAPPOINTI eN-r DATE _&.,ne-� nmc _;!2i=1 := <br /> (Please 01ve 7 to 10 business days from"0 of ap-ieation mut inb;lao � <br /> © CHECK BOX TO KKFEDIE REQUEST- 89.00 FEE- CJU <br /> ESA`s <br /> T PROMSSED INS MUSIMS IS • <br /> $ <br /> SIGNATURE OF APPLICANT U'.�� U/11fE (� '3 , f!J" �� 5� <br /> THIS 5F. imD-ITAFF USE ONLY <br /> FILE ADDRF-SS PRDGRAAIf 1;XMENT$faEARCH <br /> ICU Is. Ewnisso(l) IJ otk� <br /> __jj 1-1 -(V-f*,e r siceLt - AA� 'F,2 L <br /> ---a - - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> )� <br /> UNOMGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT S0LIfyWXj-7E FACR-17Y <br /> OTHER CLEANUP SFM(NON-Lor) O FWD FACILITY SOL '.)WX iTE 11SHICLE <br /> UNDMGROUND TANK WONMORINGsMMOVAL) o DUG WONNEL d 1311IR r - <br /> HAZARDOUS WASTE GENERATOR 4 C"ICKCN RANCH 0 PIiG i REA'r1YICl'i['T PLANT <br /> C] TIERED PERMrrmD FAcam'Y ❑ MOTELMOTEL ❑ P11MPER'IRVr.KJ MNCHE1A TaLME <br /> d TATTOOBODYPEIMING M POOLMPA 0 LANE,U$1' ►PPLP.`.An-0N SITES ,. <br /> CI MEDICAL WASTE FACILrTY ❑ OTHER(PLEASE SPECIfi1t7� -- <br /> 1. List up to ten addresses in tate space above. Select the types)of files from the list above.by chacking <br /> the appropriate box(ss). At least one fife typal MUST be selected. F, a3.tojM 4644138 or Mail to the <br /> addresslndi cated-ak+ave <br /> 2. EHD will notify tho applicant U any EHD files-,Wst. An appointment for review willi be c ordirllied <br /> approximately five business days but no later than ten (10) days after rhotaipt of 2pplication. The Men <br /> will be held for a maximum crf five businr.ss days for review. Appointrstrnts Stiould by scheduled <br /> acaardingly, <br /> 3. A file that is actively beim worked on by Em staff may nor:be immedit-slely avaNblr for review. A now <br /> app€lcation may be submitted when the file is available. <br /> 4. Any file not returned in the same condition ars released will be reorganired by EHD staff at the expenne i <br /> of the applicant Future file reviews by the seime applicant may require a S$9.11p deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be can trrned with EHD ctaffi. <br /> a. Applications received after 3:00 pm will be prooested•the next business clay. <br /> C0A4F`iIkMEl3 APIJCnNTM5NT DATE _ TI€VI( <br /> DATE CONFIRMED -- - PMONE FAX wilyVAL,S <br /> REVIEWED Yrz$ .NIO DA-rd _� <br />