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06/22/2006 15:51 916-371- 19 RANEY GEOTECHNICA'' PAGE 02/03 <br /> pWIRONNENTAL HEALTH PAGE 01 <br /> 06/22/2006 i4:45 4840138 IIOVAt1U11VI.VUNTY. <br /> l RNMO�NTAL VX_&w�pF_FAR IMNT i� <br /> l LO 304 East Weber Avenue,Std Floor,St dcM CA 45202-2708 <br /> Tdapbme:(204)468 420 Fax: (204)464-0138 Web:www.sjgov.orgJo11dt1 <br /> PUBLIC RECORDS RELEASE APPLIC.A.'TION '''dViRONMtN HEALTH <br /> b(S�r,. <br /> App uCAMM +'al]s •aKiu <br /> AbOREES: 3tI{fJ !,III it <br /> FWNE(1} PHONE J2; FACSIIIAUF:p—,.,,, LAI <br /> TI'HTAIAPPOiNTMBNTDATE: corse 6a eannrmaa} kw <br /> (I�N!ase 911evr SU p++mlReEx days hem dak of applrcaNaR sl4xaletaf-•Tenta&ve wily- <br /> CH£gGBD:GTo 1@REOUFS t9a. R'L41�c t 1-RWUI PROCIES860 tH 1 S"0�81"N'cS�B4O,A`Y9 <br /> SIGNATURE OF APP ANTM,� � DATA rJ � :_- <br /> B��CGWC 0 tit d Map-Co criPaen <br /> FIIX ADDRESS FHD USE:AM_Y <br /> sueettl Stmet NMI) Olty - <br /> q t}UO rr AUz_ Tm { Uflff '1 <br /> R lTa`t t� F lJnit;2 <br /> 3. SVIP <br /> 4. f"t rr �l�IliS3 <br /> G. l�2g <br /> 7. _ X U-rk 5 <br /> e. <br /> Unit B <br /> Spe*Mc Date Ran4a of Information Requested:From -- <br /> ENVIROHMENTAL HEALTH DEPARTMENT Ii F•a^ •7F �3e2 er.+rJ 77155 <br /> UN;eApe0t NDTA,4K(tl5n C. VWSnF(LOP) Har9mC AaAT>:IAEHT SojeWASTEFACILMWYorme <br /> Cnrm"EMUPSite( -L0F) FOX FACXM WASTE TM <br /> lMo6RDr000HDYA10C(Mmgwama1RFm0VA] DOG KOMM DAW <br /> HAZARDOUS WASTE GEk6MTC9 CmCKV RANCH WAstrWATERTW-4"VPn PtMT <br /> TeTtiW P'�WTM VFACNrrT MOTLLnioTE4 Pees'FRSRUOICA'lUebfCNECpCAL.SPFER <br /> TArnootHOD"r PMCMQ POGUMPA tAnti USG APP[.CCAT'.OKM11136 ^--� <br /> Mem%.WASTE FAeP.M OTHER(FLEASG SPECIFY) ---• <br /> WMLL MCD S"TIe PE37ias RSCORLO ARE AV -FOR RGYRwI-NONbAY.FRIDAYS:aE A*5ACem - ExmLK**HQLmAIA�,a <br /> 1. List up to tan addresses In the space above. Select the type(s)4f flies the <br /> 1 list <br /> oboen_ ve by11 hecldd_d_�ng the <br /> Approprtat[-bex(es). At least one file type MUST be selected. Fes_ <br /> jd abovg, <br /> Address ranges will not be accepted-for additaotutl assistance with file addresses,Contact. <br /> the EHD.Applications received s4ter 3:00 pro will be processed the next business day. <br /> 2. The EHD will nott(y the applicant 1f any EHD files eII An appointm ent for review will be confined <br /> approtdmate'ly ten(10)days after receipt of application. The files will be hold for a maximum of R't'e Wsln�n <br /> days for review. Appointhlents should be scheduled accordingly. <br /> 3, A file that is actively being worked on by EHD staff may not be Immediately avnitable for revie Pr. A neer <br /> application may be submitted w(ian the file is available, ease of l�e <br /> 4. Any file not returned in the tame condition as released win be reorganized by EHD staff alt the exp <br /> applicant. Future file reviews by the same applicant may require a b8�3.0-0—dapnsW.prior to review, <br /> Card Mia <br /> •iarstraana <br />