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Au8. 14. 2003 4:02PMCONf�EARTH TECHNOLOGIES No.4644 P. 1/1 .f14r. <br /> cATERw-ZV90 Atv'k Rte.tN1 _ <br /> �0I�A" SAN J0AQQK'11PQ{J1MR J9ft0 REALTH SERVICES go Lac mU WR <br /> ;i► �� ENV1IR0f4U0TAE1'AtfALTH ,DIVISION <br /> 304 EASTYvE8ER <br /> P� 03 A u T 2 <br /> FLOOR <br /> WG I • (M)40-U20 2 <br /> 03 PUBLIC RECORiDS RELEASE APPLICATION <br /> APPLICANT Q Gti 1 y � �SUSIN!?S$lAGEitICY "—_F-i <br /> AODRLSS I V� -� <br /> FACSI1V" _ •• . <br /> TENTATIVE*APPOMWENT DATE l Q s�-c � 046 3 TA1E p A.I,r <br /> (Presse give 7 to 1to buskiculdityx ftm dam of Itpdion sumnimo <br /> Int' <br /> CHECK BOX TO tawEDrrE REQuarsr.$87.00 f:EE—rmswesrPtaocEssrrn IN a auswEss DAYS � P�V� <br /> SIGNATURE OF APPLICANT DATE <br /> ADD TM=X 00 AFF USE ONLY- <br /> PROGRAM EU39EWM SEARCH <br /> 07,q!5s At. !wf 4.9 CA 14 PC I t <br /> A*A 5 RI*944 <br /> a <br /> y' <br /> 444*q 7"1 <br /> Wm., <br /> wa ✓ 7-77— <br /> ENVIRONMENTAL HEALTH DN3Si0N FILES <br /> er"UNI ROUND TANK(UST)CLEANUP SITE(LOP) M IiOUSUW ABATEMENT 8'soun WASTE FACILITY <br /> ®'OTHER CLEAww SITE wom-Lop) 0 FOOD FACILITY' 4EI7"SOUD WASE VEHICLE <br /> W'UND»aGRouw TANK(I4onn-ORINGil2>movAL) O DOe,KENNEL ❑ DAIRY <br /> Q' HAZARDOUS WASTE GENERATOR 0•CHICKEN RANCH a PKG TRAA7`MENT PLANT <br /> @rTuwo remanim FACILITY ❑ 140TELl"o-IrL, LT PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATTOGIBODY PE t=G C3 P60L/SPA - 0 LAND USE APPLICAT M <br /> C3 MEDICAL WASTE FACXJTY 0 PUBLIC WATER SYSTEM Q OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to,f2091,464-0138 or mail tQ the <br /> ad_40!xs indicated above. <br /> 2. EHD will notify the applicant if any EHO tiles exist. An appointment for review will be confumed <br /> approximately five business days but no later than ten (10) days after recelpt of application. The files <br /> wilt be held for a maximum of five business days for review. Appoiahnents should be scheduled <br /> accordingly. <br /> 3• A file UW is actively being worked on by EHO staff may not be irnmedlately available for review. A new <br /> application may be submitted when the file is available. <br /> ;. Any file not returned in the same Condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future filer reviews by the same appilcant may require a$8T=deposit prior to review_ <br /> i. *WNTATIVE appointment dates must be-confirmed with EHD staff: <br /> l• Applications received after 3:00 pm will be processed the next bat tress day. <br /> ;ONFIRMEb APPOINTMENT DATE TIME <br />