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12/08/2006 FRI 18,17 FAX ",doer Associates Inc X002/002 <br /> 7.2/88/2006 14:05 2094640138 ENVIRONMENTAL HEALTH PAGE 02/02 <br /> DD <br /> trio tuv Ntmn�srx <br /> SAN SOA,Q TJIN COTJN'I'Y <br /> ENvjRoNmmAL MA•LTu DEPA RTMZNT <br /> DEC 1 12006 304 East Weber Avenue,3"d Floor,Stoc dem,CA.9$202-2708 <br /> Telephone:(209)468-3420 F=(209)464.0138 Web:www.sjgov.org/chd <br /> ENVIRONMENT HEALTH 7 z 5 <br /> REBMITISERVIC 5 PUBLIC FXCORD.S PXTFASF,APPLICATION _ <br /> APPIJcmT-.sJ t • '! .L6o1AiC ASS �L7,L Inc. ev w—,-rAGNCY: -Ao(_..r AssDc-ia <br /> ADDRESS; Ig3oo (zL4, %C :)c , C-Qd.x-nW,�,6 1 WA �1Ra5 <br /> PHONE(1): (L1)_ 3 ��11 _PHONE(2): FACSWILV:�4 ZSO 9 R�)-54,-Z <br /> TENTATLVE'APPOINTMENT DATE: -PAr Ofd 014(L P-E'Coat)S Tbm- <br /> . (Plaase allow 10 business days from dam atappkation submittal-`Tertta6W only.must be con(1oned) <br /> Q CHECK sox To ExPEDrrE REQUEST.$MOO FEE(CASH OR CHECK ONLY)-REQUEST PROC9=W 1N 3 BUSNESS DAYS <br /> SIGNATURE OF APPUGANT DATE ha/0bZP <br /> pectronlc Information: ❑Lift❑Map—Description; <br /> FILE ADDRESS EHD USE ONLY <br /> 9tnsat Y <br /> Surd Name city ❑ unit 1 <br /> 1- 1tS�5 S. l.Aevu S� �L�PPe� <br /> 3. V\ <br /> 4. _ �UnIt 3 <br /> 6. Xuntt 4 <br /> 7. <br /> ❑ Un1t5 <br /> 9. •<:t�� �ilKitfl� <br /> 10: � w <br /> x <br /> Specific 020 Range of Information Raquasted:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENTF,ILES <br /> �UNOMMMM TAM(UST)C1.RA M Wm(t.OP) �Housm AaATMENT .;I✓SSW WAS-M FAC� <br /> 112'O iM CLEANUP Si1'ti(ttiom-LM A Fo0v FAcam! r Ja'QYas�Tin <br /> w�TAW(�+nDRIHOM MOM.) D 000 Kom -Ul= <br /> �t1A WASTe GENMATOR 13 C.MCM RAWN ,.gWASMWAM9TftrAraW PLAW'. <br /> 1)PEm4RTEnFAtys. Y 17 MOTOA07M 0 PuzomTmjcxNArVCHEµToltxm <br /> TATioo/BWY P.=40 ❑POOUSPA G LAND USE APPMATM 5nts <br /> E3 MmcALWAswFAeaurr d pnERpL,AW t <br /> WMAm SsPmC Pmw RECORDS Ates AvAajumPE poR lZEytew- MowoAY-riwAY MOCI AM4-.00 1 • E=Uowa tk mAY& <br /> 1. List up to ten addresses In the space abov& Seleet ttw type($)of fifes from the Ilat Above by checking the appropriate . <br /> box(aa). At least am file type MUST ha selected, Facto(n d 438 or mail to the addr"i lnSpcafed abo� Address <br /> ranges will not be accepted—for additional assistance wl a moss",contact a END.Applications recgivad after <br /> 3:00 pm wIQ be procassed the next businves day. <br /> 2. Tho EHP will notify the OPPllaant If any END flies exI4 An appointment for rerAow wtil be confirmed approximately ton(10) <br /> days after Mcvlpt of application. The flits rw11I be held for a maximum of five business days fax review. Appointment; <br /> should ba schedufad wcorc ingly. <br /> 3. A fife that is acbWy being worked on by END staff may not be Immediately avallabla for review. Anew appllcatlen msy be <br /> submitted whon the fife is available. `1 <br /> 4. Any filo not returned In the samo condition as released will be re=organized by EHD staff at the expense of the app.Rcftt <br /> Future filo reviews by the same applicant may require a$95.00 deposit priorta review., <br /> END USE ONLY <br /> EtlD 1f%�9l18fZ0o9 . <br />