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/31s <br /> SAN JOAQUIN COUNTY <br /> MLIC HEALTH SERVICES <br /> ENVIRONmWLNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APMCATION <br /> APPLICANT CCj a NI,>tckePF - t S� PHONE rro 57 0-(l.SS-�fo53 <br /> ADDRESS 400 NeLsat4 44E, Srr,.TI coNcoQ�y CP- El (Sza <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> SLB ADDRMS LEAD AGSNCX DATE <br /> 6 E Gas/oewC�vc 53s s lit _ sw 5.. J G� �. 9- 2&-?1 <br /> lra,trs,- <br /> Wfsks., <br /> CJN 4s4.d fi Ea5,.G312;IbY.So,'m4 <br /> SAn T� qvr: l,,..may 235 kC G,11< <br /> innr5�h6� Z�1 5. 11.+.rse2 Sr. <br /> 11 . Ing W. <br /> 12xY.,d. ronrxl�.Ce.d�: Fhzy Cam , Sfi <br /> 33x0 N24h) <br /> Aloocet,.uc�cl„rs�39�De Uwlo V <br /> THIS NOTICE IS SURIECT TO TM RaquIREMENI'S IDEN7iP M IN THE PUBLIC HEALTH <br /> SERVICEW NVIRONMENTAL HEALTH DMS(024(FIID)POLICY/192-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, IIID PEES AND SERVICE ( BARGH IIBSOLVnONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND IUR EVIDENCE CODA <br /> 1. PUB11C FIASIMCORDB REVIEW ARE BY AMBNTMRNT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING M9)66 m40. OPPLCS HOURS FOR APM]IN[MTi M ARE SCHEDULED <br /> MONDAY TII U FRIDAY EXCLUDING HOLIDAYS.8:00 A-M_T012:00 NOON AND 1:00 P.M. TO 4:30 <br /> Z A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REPUNDABI E DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLLCANT IP THE FKESMECORDS ARE <br /> NOT AVAILABLE WIIHIIN TM CUSTODY OF THE FIID_ <br /> 3: THE ABOVE IDENTIFiFD DEPOSIT IS APPLIED TOWARDS TINE TOTAL FIE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGIS ARE DUE AND PAYARL9 pI,UOR TO REVIEWING THE <br /> DOCUMENTO). <br /> 4. PUBLIC FI n R 13CORDS NOT RETURNED IN THE SAM CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIID STAFF AT TILE MMME OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLBU TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC Ral&T[ECORD9 SHALL NOT BE REMOVED FROM THE EM PREMISES. <br /> SIGNATURE OF APPLICANT DATE - {y- <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REY 10192) <br /> „men nm -nut 'vca rzee cau nrcaQ nz:an ra, a�;an <br />