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2000/2003 USED Oft BLOCK GRANT <br /> RECYCLE SIXTH CYCLE APPLICATION <br /> USED OIL Application Due Date: April 6, 2000 <br /> • <br /> Instructions for completing this form can be found on pages 8 and 9. <br /> Applicant: If applicable, on a separate sheet of paper list the participating jurisdictions, a contact name, address, <br /> and contact's phone number and e-mail address. <br /> • <br /> • <br /> Address: 835 E. 14th Street San Leandro CALIFORNIA 94577 <br /> Street City State Zip Code <br /> Program Director: <br /> Michael Bakaldin Environmental Services Manager <br /> Printed Name of Program Director Title <br /> • <br /> Address (it different than above) City State Zip Code <br /> (51n) 577 -3331 (510) 577 -6019 mbakaldin @ci.san— leandro.ca.us <br /> Phone Number Fax E -mail Address <br /> Primary Contact: <br /> Kelly Hamer Administrative Aide <br /> Printed Name of Primary Contact Title <br /> Address (if different than above) City State Zip Code <br /> (510) 577 -3336 (510) 577-6019' khamer @ci.san— leandro.ca.us <br /> Phone Number Fax E -mail Address <br /> Consultant: (if applicable) Phone: <br /> • <br /> Address : <br /> Street City State <br /> Zip Code <br /> Contact's Name: E-mail Address: <br /> Assembly District(s): 18 <br /> • <br /> Senate District(s): 10 <br /> Electronic copies of the application package can be found at the CIWMB's website: www. ciwmb .ca.gov/usedoil/grants/block/. <br /> 6 <br />