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2005/2006 Used Oil Recycling Block Grant Application (11'h Cycle) <br /> Application Due Date: ReceiVed no later than June 1, 2005, 3:00 p.m. <br /> <br />Applicant: (if a regional program, list lead agency first and add/cross out jurisdictions that have changed status) <br />Pleasanton <br />Estimated Total Grant Amount: $17559 <br /> <br />Address: New Address: (If changed) <br />3560 Nevada Slreet <br />Pleasanton, CA 94566 <br />Primary Contact: New Primary Contact: (If changed) <br /> Danielle Stefani <br />Printed Name of Prima~ Contact Printed Name of Primary Contact <br />Title: Hazardous Materials Coordinator Title: <br />Phone: {925) 454-2338 Phone: <br /> <br />E-Mail address: dstefani~lpfire.org E-Mail address: <br />Fax: (925) 454-2367 Fax: <br />Signature Authority: New Signature Authority: (If changed) <br />Deborah Acosta McKeehan I~e~_~o~ [~$g../lo <br />Printed Name of Signature Authority Printed Name of Signature Authority <br />Title: City Manager or designee Title: <br />Phone: 925-931-5002 Phone: <br />E-Mail address: E-Mail address: <br />Fax: 925-931-5482 Fax: <br />Consultant: (Ifapplicabl¢) New Consultant: (lfapplicableand/orchanged) <br />Contact Name: Contact Name: <br />Phone: Phone: <br />E-Mail address: E-Mail address: <br />Fax: Fax: <br /> <br />Advance Payment Option: For Grantees receiving $20,000 or less, and multi- <br />jurisdictional and regional grantees whose individual jurisdictions would have [] Elect advance payment option <br />received $20,000 or less had they applied individually - advance payment option <br />is available. <br /> <br /> <br />