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Dec -10-04 14:35 From -TTI TETRA EM INC +8168520307 <br />SAN JG ICOUNW <br />NV 1 TH DEPART <br />304 E Weber Ave 3`d Floo toCh�ton, CA 9 <br />iL <i't <br />J209) 468-3420 Fax-, (209) 464-013$ Web., www.co-san joa <br />rpt ..-- <br />W.-MINTIMIT111117TWEV -1 =-, <br />WL <br />- , <br />W-AW-11FM <br />i , i ai. d <br />PHONE: � ( - q 2 1 —,517LV 9,4, It FACSIMILE:, q ((nr-- 12-1 -j 23 <br />TENTATIVE, AAPoiNTMENT DATE: IF(- - _ _ 9-3 Tm <br />(Please allow 90 duslress days from date of application Sudo <br />T-568 P.01/01 F-845 <br />us/ehd <br />0 CHECK PDX TO EXPEDITE REQUEST - $93.00 FEE - REQUEST PROCESSED IN 3 BUSINESS PAYS <br />SIGNATURE OF APPLICANT DATE <br />V <br />Qep4nrnent u5e Only <br />f♦vj <br />i v <br />SUBM <br />a FOOD FACILITY M <br />k l� <br />2 <br />S. <br />IS ?- <br />'-A 57-''n <br />3 <br />Sn••t <br />1: <br />0 MEDICAL WASTE FACILITY <br />M OTHER (PLEASE SPECIFY) <br />APPLICATION4A'D USE <br />w <br />'from the list above by checkin <br />to 1209148"138 <br />5 <br />5unet <br />�bi'�; <br />6 <br />5vaec <br />2-3 <br />7 <br />sm,. <br />01F <br />e <br />s <br />11 <br />�uJ <br />�'t15 <br />9 <br />SUW <br />110-4 <br />10 <br />s[r••i <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />M HOUSING A13AWMENT la <br />OTHER CLEANUP SITE (NON -LOP) <br />a FOOD FACILITY M <br />UNDERGROUND TANK (MONITORINCWnMOVAi.) <br />1:3 DOG KENNEL Q <br />HAZA900US WASTE GENERATOR <br />A CHICKEN RANCH A <br />M TIERED PERMITTER FACILITY <br />A MOTI"WHOTEL a <br />r3 TATTOO(RODY PIERCING <br />❑ KMI.r$PA Q <br />0 MEDICAL WASTE FACILITY <br />M OTHER (PLEASE SPECIFY) <br />1 List up to ten addresses in the space above. Select the type($) of filv <br />the appropriate boxies). At least one file type MUST be selected. <br />.•• -•..ti.. 1•: -• ...• <br />2. JEW will notify the applicant if any E"D files exist An appointment f <br />approximately five buu1neim days • • Is days after <br />Appo-im- <br />accordingly. <br />3. A file that is actively being worKeO an by 1EHD staff may not be irrlmai- <br />applicationsubmitted when the file Is available. <br />applicant4. Any file not returned in the same condition am released will be reorga! <br />of the <br />appointment5. *TIENTATIVIE dates must be . s: <br />ApplicationsQ. ;. . .c pm Y411 be processed the next buslw <br />CONFIRM AFFOINTMENT <br />DATE s - r PHONE FAX <br />YES NO REVIEW D. <br />N - , 1 • -- • :. <br />... <br />M <br />INITIA148 <br />0 y <br />il <br />A <br />b <br />ELID WASTE FACILITY <br />two WASTE VEHICLE <br />MRY <br />.-%G TREATMENT PLANT <br />JMPER TRUCKIYARDICHF-Me <br />•. <br />APPLICATION4A'D USE <br />w <br />'from the list above by checkin <br />to 1209148"138 <br />N - , 1 • -- • :. <br />... <br />M <br />INITIA148 <br />