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FEB-P,1-21703 11:38 FROM: TO:46AD138 P.0021002 <br /> --wn:warvee 1 <br /> �l I 1 <br /> SAN MAIM COUNTYPUSLIC HEALTH SE&ES <br /> �� 1 ,�n ENVIRONMENTAL HEALTH DIVISION / <br /> /IE CI v 304 EAST WEBER AVENUE,THIRD FLOOR (/V) <br /> FEB ? 1 2003 sT(209)ar ON CA O202 <br /> NVIRiiNMPUBLIC RECORDS RELEASE APPMATION <br /> � <br /> APPLICANT T/S� VI BUSINES8IAOBNCY vC .�..Sfx1�' 9�-h. c� (40�s-,,k'w�dev• <br /> ADDRESS 92 400w Ave. F.cmv, 350 <br /> PHONE 4�4M-k D FACSIMILE <br /> TENTATIVE*.APPOINTMrNTDATr�edd,�1,.Z.C33 TIME '��A�� .. 3-383C6d�-5) <br /> (Plops*aive71010 ouelnue days IMM delle Of aPPI102sian bub"" la') <br /> © CHECKBoxToExPEDITEREQUe$T-S88.DOPA-REQUESTPROCESSEDIN90USINEa9QAYS <br /> SIGNATURE OF APPLICANT �y ?�� DATE <br /> PILE ADDRa&a THI ®IOE HD 8 .AFP USC ONL - <br /> PROGRAM RLUM04Ts SEARCH <br /> k 41 <br /> uj <br /> VD7� 63 <br /> W � - <br /> -iy1 0 7J <br /> L) 9 O 767- <br /> 70 <br /> 5 -ac <br /> ENVIRONMPNTAL HEALTH DIVISION FILES <br /> ❑ SOLD WASTL FACILITY <br /> UNOERQRot1ND TANK(UST)CLF_AIiUP SRL(LOP) G P�BDIF ENT p SOuD wArTe VEHICLE <br /> OTHER CLEANUP fin(NON-LOP) 0 FOG FACILITY <br /> 0 DMRY <br /> UNDERGROUND TANK(MONITOM101RP-MOVAL) E CHICKEN EL A PKGTRRA'nAF..NTPLANT - <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANTEL ❑ PUHPER TRUGK/YARDICHEM TCII-M <br /> TIERED PERMITTED FACILITY p MOT"OOLISPA ,i?Sf LAND USE APPLICATION SITE6 <br /> Cl TATTOOIDODY PEIRCING p PUBLIC WATER SYSTEM ❑ OTHER(PLFA'96SPf•CIFY gBOVl1) <br /> O MEDICAL WASTE FACILITY <br /> 1. List up to ten eddressaL In the speos above. Select the type(s) of files from they list above by checking <br /> the appropriate box(os) At least one file type MUST be selected. F f 0 +164-D13D or maiL1� <br /> , <br /> MS4drag$ Indicated al OA, <br /> 2. EHD will notify the applicant If any EHD files exist An appointment for review will be confirmed <br /> approximately five busbtieas days but no latorthan ten (10) days after receipt of application. Thu files <br /> will be held for a maxirrittm of five business days for review- Appolntmsnts stwuld be scheduled <br /> accordingly. <br /> 3. Afile that to Activaly baing worked on by EHD ataff may not be Immediately avluliabie for revls✓u. A now <br /> application may be augqttnr+ittod when the file Is available. <br /> 4. Any file not returned Ihfthe same condition an released will be rsorganiaed by I.HD staff at the expsnse <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. *TENTATIVE appointr tont dates must be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will bF procassed'the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX IN uLS —T <br /> REVIEWED YES NO REVIEEW DATE <br />