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03/30/2004 08:14 FAX 209933 4Q Q003 <br />03U_%A 2 FJ4 09: 31 464 -/�, . EM/IRpt�hIENTF LTH PAGE 92 <br />vn � �. tuva... r..v <br />SAN 1OA —.._ <br />QUIN COMM <br />ENVIRONMENTAL $EALTR D-EPARTMENT 3 4, 2, 2 <br />MAR 204 304 E Weber Ave 3'd Floor 5to*tM CA 95205 <br />gzosj 468-3420 Fax: (2o9) 464-oin web: www.co.an9agoint,C2us/chd <br />civvi�uidivlEldT HEALTH <br />SERVICES PUBLIC BECORO$ R APPLICAUON <br />C13- -;04G <br />'MKATl%V mroRiilA a mm. Tietaa: <br />flim" allow III business days f l ante of #pp000= subadltaq rM <br />VMCK B=1 '0 ExPE15 nRE - "Ift FTE — MUM pRocassao �) 3 MUM DAYS <br />MM M OF APPLICANTk,610c�DATE 31 64 <br />FU..E Addrt�SS <br />t .8treee 9a1 �4�d 'S -Lu M R14£ �rl�olc_i dv^� <br />X14 1 7 <br />S. and _ 4 3. Qik� Samek- n <br />N car <br />_ -7S- 9a 01 <br />DetaaMIM UN 0* <br />unit <br />unit 3 <br />je unit 4 <br />units <br />ENVIRONIAMAL. Hf.14l.TH DEPARTMIE NT FRES ti` �� 1 <br />p�,ulipERGfbOtI�ID TANK (ustn I:LEANUP SrtE (WP) Kous1NG AgAi�EriT � SOW WAM FAMUTY <br />OTMR CLEANUP ME WN -LOP) FOOD AC1 M ;r SOi b WASTE MME <br />P"WWi <br />ru�,OtUND TAMC (MOti[r�OMOf [tEMOVAL) •[f Dob iMTMM V DAIRY Citi ` <br />�TNMM PERMPERMwASTE GEWEPATMF W FAMMY '� CHIGf�lI RAN1.CH � �A1R�UCK/tf4�RofCNEM TOLEi'S <br />14 <br />.tf TATi001000V PtFArll[G POGU$PA S Li NO USE Mg: TWV"= <br />)2rMEMAI_WAS'I'EFACLOY �0TI1M sp�►)�'�''r og ery •�.,. �b� ' 3l"�I � <br />Co l <br />1. Last up to ten addrosses in the space above. Select the types) of flies from the Get above 1� checidng <br />the appropriate bores). A4 least one file type MUST be selected, Fax to 209 4 138 or map to tfie <br />address indicated above. <br />2. EHD will notify the appftsht If any EHD HMO wdst. An appointment for re"m wfN be coffwmed <br />approx9nately five business days but no Later titian ten (14) days after receipt of application ThO files <br />will be held for a n%Lx nwn of five business days for review. Appointments should he scheduled <br />accordingly.. . <br />3. A file ftt is ativaly being worked* on by EHD staff may rot be knn*diately available for review. A new <br />applicattian may be submitted when the file is available. <br />4. Any rde not returned In the same condition as released will be naorgalYrxed by EHD staff at the expenee <br />of the applicant'. Future file reviews by the same applicant may require a S93Aa deposit prior to rtiwidw <br />S. 'TENTATNE appointment dates must be cor firmed with EiiD staff. <br />a. Appticatlor s reeefved after 3:00 pro will be processad the next business day. <br />y� .1 •II • )M••�Y,.t•.} / •. • •• <br />.. t } �rl.i� ••r.My�- �� :•- <br />1 <br />iV�Nf� tr:SJli�ifi <br />VA��j <br />�.• 'li : :fr`:�--.. �• :�•1LLtIF.v: <br />, - r3 <br />)ATii 01� jRlV4 i3 ••'•' <br />- HOCti= -FA <br />: S <br />nor. .• � ' <br />- ;.• .1;, _ <br />;;�•.urY.�• - , <br />,. �•• •.- <br />2>'=1ri1r11 E6 - 1fi;5 <br />'NCi 110112W DATE-„ <br />r <br />aw as.oz vs <br />- <br />LIU= - . <br />