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03/04/2005 15:22 9252836121 AEI CM^ TANTS (SF) PAGE 01 <br /> DATE RECEIVED SAN JOA,QUYN COM' TY <br /> no E�xo�r�rr�Ar. ,L�[DEpAR']<'TVI<ENT <br /> tN �� V Lim East'Weber Avenue, 316 Floor,StocLdon,CA 95202-2708 <br /> Telephone;(209)468-3420 Fax; (209)464-0138 Web:rwww.sj90V-Org(ehd <br /> MAR 7 - 7005 <br /> pU-BLYC RECORDS MLEAST AppLICATION <br /> BUSINESSlAGENCY: <br /> APPtuc.K'IRa( � C <br /> ADDRESS: V1 f <br /> I� ONE(2):JlO FACSIMILE: <br /> PHONE(7): - Q <br /> Time:. ' <br /> TENTATIVE APPOINT'NIF-!`t'T aATB: <br /> (pi0aso xgow 10 business days from da oT appucatton subrnitFal-�2' ta'L'Qrly-mus!b0 conflmTad) <br /> CHECK BOX To EXPEDrM EST- .00PEE(CA$H QR CHECK ONLY) m-muEST FROCE$SVD'IN 3 Busman DAYS <br /> DATE <br /> SIG TUK9 OF APPLICANT <br /> UNIT DISTlUBuT10N Q Unit 4 <br /> rJ Unit 7 nit S nit ❑Unit 6 nit 6 C1 Other(e100tron1cni*Wfnaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Sbw I Street Name CRY <br /> 3. <br /> 7. <br /> 7. <br /> 8. . <br /> 10. . <br /> to <br /> Specific MOP= of lnformation Requested:From <br /> ENVIRONmr=N'TAL HEALTH DEPARTMENT FILES <br /> Q HOUSING A3RTEMENT SOLID WASTE FI�111T!(VEFBCLE <br /> gERGNOMAIDTANK(UST)CUAM11 51Tr[LOP) 0 FoQn FACILITY E3 WASTE TIRE <br /> �TH0R CLFANUPSrre(Nor-HOP) o Dos KENmFt. M PXRY <br /> ' NgGRGP,CNM TANK(MONK' ROIREMOYAL) G MCKEN RANO L3 WASTgwATeR TREATMENT PLANT <br /> 37A{AZM=;*WAb*B GENERAYOR p MOTEi1HOTd 0 pUMP2R TRUcdyA1tDICHEM MUM <br /> TIERED P'9=rTEO FACILITY E3 �LIHO D O 1�e AFFUCA710N ft S } <br /> C7 TAT7toAB Y PIERCING C�c"r wgt' ,-��►oY,_____ <br /> PA <br /> d 11Memo&WASTE FACIUYY R{PLEASE SPECIFYI_�, <br /> WELL AND SEPTIC I��RMMI C l?ECORt>s ARE AYAI LARLE FFR REY�EYV- INONDAY-FRIDAY 8:00 Ate-5:00PMA - EXCLUI]WG Hol.1(rAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files Brom the list above by checking the <br /> appropriate t>,ox(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address <br /> indlc�bore. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> L The EHE)will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> apprmdmately teh(10)days after ceipt of application. The files will be held for a maximum of five busin$s <br /> res <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that:is actively teeing worked on by EHD staff assay not be Immediately avallabie for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the I;ame condition as released will be reorganized by EHD staff at the expertise of Ilse <br /> applicant: Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> Si1D 4l1.OZ-0OB . <br /> '11fR1l64 I <br /> 10 d H.L-Id3H -iV.LN3WN0i:lIAN3 8ET0ti9b Lb!80 SOOZ/VO/E0 <br />