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09/24/2007 17:23 13107982841 PAGE 01 <br /> 4013e <br /> �n •- -� �� ENVIRONMENTAL HEALTH <br /> L� n S)N JOAQM CoLWry PAGE 01 <br /> SE: c 07 ENYMONI IENTAL MALTJJ DE PAR'TMM1'v'x' <br /> i est V�ebar Avantz 3n' <br /> d . 1 E 1 t 7 Floor,Stocktoo,CA 95202-�7 <br /> 1 <br /> e ne: 09 4G$-9424 Asx: (209)464-0138 Web:www.s gov.or <br /> 3F <br /> PUBLIC RECO"S RELEASE A,J.'PUCAMN <br /> APPZIGANT: 6USiNr=SSIAGSNC"Y:' <br /> At7DRBSS; .11C-Y�t�Z,���� <br /> PHONY(i) � -, 003 PHONE(2): FACS11WIL. <br /> TENTATIVZ*APPOMMENT DAlt-._ CSC (f,a2 Time: <br /> (Phase snow 11D b-mess days from daft of appflCdltan subml"I."Tentat a on(y.must be aonrxmoa) <br /> a CHECK BOX TO FXPEDrrE REQMST- 95.00 FEE(CASH pCHf=CK ONLY)-{2l 4UESf RfiOGR95ED IN 813CISINP55 oAYS <br /> 51C3NAtURI=OF APF't(CANT PATE -7 <br /> Efectronia Information: ['j List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street StrCQt Name ClfyEl UrtIE i <br /> 2. IV R4 C� w/2&) unitz <br /> 3. <br /> 4. Unfits <br /> 5. <br /> 5. Dalt 4 L <br /> Q Unit6 <br /> 10. aF <br /> Spociflc pate Range pf Information Requested:From Au- RVft l `fir to <br /> ENVIRONMENTAL HEALTH E)VARTMEINT F! <br /> P <br /> � 0R6tlttp TANK(u5T)CLnANVP Sm;(I.OP) Q HoUSrNc ABATEMENT ■plot V WAgTE FAcMnY1VEH1ci�0 <br /> CMWR Sire(90N4-0P) t5 FUM FACRM n MATTE TNS <br /> D MC MM TA (MoWoRtNCMr OVAL) 4 Doc KWIEL 0/15 <br /> 9WA=0-ENERATOR GlflCtcrNRANCH d AS7>�1NArGfiTArATWDiTPLPM <br /> ►17 F�PeRMfM0FACPJrr Ejmor"Om a PvMPrmTRuaKrfAmjA�iirmToorm <br /> 91107VV MODYPIV: cam Ei 1Pppt1bfAA 0 LAND USE APPLICA7roN Suras <br /> El ML01a4WASTK KAQLr Y n 0"eR IPG,EA9E SPECIFY) _ <br /> WELL AND S£PT10 NRMIT PXQ0RDfl ARE AYAMABLI!FM Rrmw-1{MQ ffUAY-FWUAY 8;Da AM-5:0PM - IPCCWM?r0 H0UDAYSi <br /> 1. Ltst uplo tan addresses In the space above. Salect the type(s)of files from the list above by checking the appropriate <br /> box(os). At hast one file type MUST be Gelet tad, mall Adsmas <br /> ranges will not be accepted-for addldonal asslstancv with fits addresses,contact the END.Applications rec6lvM atter <br /> 3:00 pm will be prooasred the next business day. <br /> 2. The EHD will notifythe appllcant If any EHD files exist. An appolntmout for rauiew will be confirmed apptoxlmatefy ten(is) <br /> days;after receipt of application. The files will be hgId for a maximum of five bL1slndss days for reYlew. Appolntmantt <br /> 3. A file that Is actively botng werkod on by EHD staff may not be immediately avallable for review. A now application may be <br /> submitted when the Ilia it available. <br /> 4. Anyfile not returned In the game condition as released will be reorpnInd by EMU staff at the expanse of the APPlicaft <br /> Futuro file reviews by th,4 sarrie appiiemnt may require a 795.00 deposit prior to revi4w . <br /> EHL)USE ONLY <br />