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I07-2002 10:50 FROM:CITY �STKN HRDIRCC 2099:378822 9610138 P.002/003 <br /> B31idlizutoz 3.er:arr �rv+r END f.4GNUIrt�ER <br /> feft SAN JO.AQUIN COUNTYPUB .1C HEALTH'SERVICES <br /> ENVIRONMENTAL HRALTH DIMION <br /> 3134 EAST WEBER AVEit84 <br /> THIRD FLOOR7 <br /> i <br /> ,;�_7 E: STUCKTON5202 81(2010480GZ !AR -7 I�IC RECORDS RESF, APPLICATION <br /> APPLICANT, MUSINSSIA01N Y C+ w4wfw Ir— <br /> Rdi <br /> ADDRMS bacedhrer QD <br /> PA001MII.I'. 247-737 <br /> PHONE �' � - <br /> TENTATIVE*APPQI"ENT DAM! TIME f 0:O- "'�•� ' <br /> (Plaeaam !vn to 1D"Y <br /> days' d*tg of II NICB to rnl!!ml) <br /> ® �l3tiSR 2�S TtAY�^ <br /> CHECK BOX TO F- PEDnt REOl16ST-SIM-00 FEl?4 I QUEA PR. <br /> SIaNATURE OF APPLICANT DATE . <br /> LY <br /> FIL A i�R>=8S THIa S! -PHT3 ST AFR U9e and <br /> PiROGRANI E1,9MENTS SEARCH <br /> MOM <br /> Sty--r a-to <br /> e 5 elw 5+e4A - <br /> r ter 5 <br /> w.s Ski 5 <br /> ENVIRONMENTAL 1-19A TH DNISION FILE $ <br /> �/ I3I"HOUa1NG ATEMCNT LID WASTE FACILITY <br /> R�r yNDLRGROUN0 TANK(Ua-n CLEANUP SITS(LOP) FG=HICCKEH <br /> QI)PAmL 01'%OLID WASTE vr=HICI.E <br /> :%THE R CLMANUP SITE(NON-LOP) CrDAIRY <br /> �yNRfiRi�ROUND TANK(4V1t7?11ToRINnfRPI�OVAL1 K IVNN1 �OTREATMGMI PLANT <br /> t� ATJ�i2DOUS WAtsTe GENERATOR Ft HCH F351 <br /> gR TRUCKIYAR1=RlPERMrr' 0P'MI_rrYr'"rUnLic <br /> ToUKQ UsE AP�PLICA110N SrMS <br /> 0W00Y PEIRCINQL11�AA R(PLIIABE S'PECEFY AROYK) <br /> IaoicAL wAsTl=FACl1.ITY WA BY$Tr:M <br /> q. List up to ton addresses in the space abs ve, of 9Tthe eGt 9f Paas from thelist 1'nve bye ht o{l�+g <br /> the appropriate box(es), At least one tYp <br /> addreso ointment for review will ba confirmed <br /> 2, tEHO will notify thv appllCent if 'yj ut lip <br /> fllat rtt! t. An a€tP <br /> spproxlmetaly five business days but nn s$d.than tan (ie dr>rye a ntm4 tei o should.be ached led�la� <br /> will be bald for a maximum of five bualrlasb daY for�evlew. App . <br /> accordingly. tiYaly. being worked an by FHI2 etfP may not he Irnmodlately available for review. A new <br /> 3. A 11'116 that Is ac <br /> application may beiaubmitted whan the 11110 is ev ilable_ aniaed by EHD $t&1111 at the experlS <br /> ,q. Any flla not returned in the same condition as ra eased will be reorg <br /> of the applicant. Future f1le reviews by the samf 0121311 ant may require a $89,00 dopoalt prior to review, <br /> �. *TENTATIVE appointment dates must be Confirryi6d with 1~H0>ttaff- <br /> 6, Applications repalved aftor 3:00 pm will,be pror.41000d tha next bustneSa d8y- <br /> CONFIRMED APPOINTMENT DATE= T1MF <br /> PH NE FAX INITIALS <br /> DATE CONFIP2MED <br /> REVIEWED YES No_ REVIEW DATE <br /> n� , <br />