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02/15/2005 16:29 2096342883 FEDEXKINKOS PAGE 02/02 <br /> DATE RECEIVED EHD LOG NUMW-R <br /> SANJoAQunv covNrX `� <br /> R E r E P V j� EwmomnNTAL MuLTH J)FrABTmzNT <br /> 304 East Weber Avenue,P Floor,Stocktoxa CA 95202-2708 <br /> FFR 1 5 2005 T ftboac:(209)469-3420 Fax:(209)464--0138.web:www.sdgov.orglehd Z7 <br /> Eh�1T� N PUBLIC RECORDS RELEASE APPLICATION - - <br /> �APi'�k1�ANT� 1�ar1Y�W�tVdyi ���4an BUStNE WAOLNCY, L,NViJOT i <br /> ADDRESS'_ !be"uf u,rl4CK CIQ IT3' 2- <br /> PHONF(1)-'3LSb 7XT_- 66714 PHONE(2): ZSJg (-4)0 rtSC�Lf FACSIMILE: <br /> TENTATIVE"APPoINnwNr aATE: <br /> (wee agow 14 btminms days atom dhte:of spp%Q*ion mAm*al-'Fin ative only-nuat be eoorr,Red) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-" t$03.00 FEE t(CLASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 NESS DAYS <br /> SIGNATURE OF APPLICANT _1_Y� •V�/1�V DATE _ Z, l �� <br /> uNfr DISTRJauTlav 0 unit 1 0 UrA 2 D UrA 3 a th,n i 0 WJt 6 0 unit 6 O Other(eieS lTonidiisrtntrT,aps) <br /> FILE ADDRESS EHD USE ONLY <br /> Sln.t M Sbrset Name city <br /> 1. ( ,44-- inn Si. ,� -r- t <br /> 2- e.-+ <br /> 4. <br /> 7 7 <br /> g- °i - .�...► '10._ v Mom-ec.s", '� " � ,.. .\ <br /> - <br /> SpecMc Dube Range of Inforl>nwti m Requastad:From bo <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> P(tlNotltOROUND TANK9AM CLEANUPSITE(WP) 0"ov swLi ABATEMENT 0 SOLD WASTE FACLMAAaeaLt <br /> D OTHER CLEANUP SRM&40#4-LOP) 0 FOOD FActLitr O WASTE 71RE <br /> 0 UtIGIMOROUND TANK 0tmroRm m wvAL) D DOG KED 0 DAIRY <br /> El HAZARDOUS WASTE GRIERATOR 13 CaMEN RANCH D WASTRL WATM TRFATVMMT PLANT <br /> O TIERED PERMITTED FACILITY 0 MOTELIHOTs. 0 PMPER TRucadYAROICHEN TbKEM <br /> D TATTOOMODY PMW;jW EI POOLMPA E3 LAND Use APpuam*N 6rrim <br /> 0 MEDICALWAsTE FACILRY D OTHER(PLEASE SPeGFY) <br /> WELL AND SQnc PEwa RewRD$ARE AvAn A9LE FOR REvew- MONDAY-FMAY 8:00 AN-6:00PM - Exc uow HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by Checking the <br /> appropriate box(es). At least one File type MUST be selected. Fax to(20914644138 or mail to the address <br /> Indicated above.I Address ranges will not be accepted,for additional assistance with file addresses,contact <br /> the EMD.Applications received after 3:00 pm will be processed the next businus day. <br /> 2. The EHD will notify the applicant if any EHD fibs eXIA An appointment foe inview will be eanfirmad <br /> approxlmatery/tan(10)days after recelpt of application. The files will be held W a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively bung worlmd on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD sW at the expense of the <br /> applicant Future file reviews by the same applicant rrtay require a$93.00 deposit prior to mviaw. <br /> nano <br /> {1 <br /> A ) ! <br />