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Ell 00 14 (REV 5194% SAN JOAQUIN COUN'T'Y ` I QVVVVc w <br /> PUBLIC IIEAL'I'II SERVICES <br /> ENVIRONMENTAL IlEAI.TII DIVISION Z/ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIC 1/rCl� ( r�LER PRONE NO�5-10 6$'y00 / <br /> ADDRESS R2 '-175 ROLI�D Y CAE-4,+Q 1 S6 Z1 <br /> AGENCY AME PHONE NO <br /> AADRFSS <br /> ! FIL LE-AD AGENCY DAM <br /> 92y V AJ 9uREAiS7 . V SrocXro..! � CouNTY �4� OcB tl VA <br /> ' Q Wa F mon/T Sr S,OCK7�J <br /> i <br /> '132 Is OA/ -roCKraa <br /> Sog R E aCAroAl i <br /> L105 N LING LA) SroCKT-o" <br /> ' -S)WT <br /> F FA'id cr o� <br /> I <br /> THIS NC'17 IS SUWFCT TO 'INE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ NVIRONMENTALHEALTH DIVISION (Eli[))POLICY#94-001,ORDINANCE CODE OF SAN <br /> ! JOAQUIN ,UNTY, .EHD FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br /> GOVERNM NT CODS AND THE EVIDENCE CODE. <br /> i. . A AXIMUM OP TEN (IO) PPM1156 ADDIZMES PER REQUEST. <br /> n' <br /> j2.: Pus FIL PSlRECWRDS REVIEW Is BY APPOINTMENT ONLY. APPDINTMEKM AAa:AiucAtWM BY <br /> CALLING )468-0340. OPM-9 Novae MR ArmiNrMEm3 Arts scI1EDuLSD MONDAY TIIRu FRIDAY <br /> riXCLUDINQ HOLIDAYS, S:00 AMM 12.00 NOON AND I:OO PM To 4,30 PM. <br /> A Ili IEL1C RECORDS RELEASE APPiACA7113N (MRA) IS REQUIRED. <br /> 4, PUBIC PILESMECORDS Not' ItmRN1?D IN THE SAME CONDMON AS RECEIVED WILL 6S CUPJt 'iBD <br /> BY THE EH BTAPF AT THS EXPENSE,OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED To Tim <br /> ! APPLICANT FM PAYMENT. (SEB EHD POLCCY 94-007) <br /> 5. ORIGINAL PUBUC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD Mrmoss. <br /> SICNATUR I OF APPLICANT DATE <br /> SIONATUR OF REL LASING OFFICIAL DATE <br /> No PHS/1 D ARCORDS/FUM ARE MENTIFIRM. <br /> dm �rww�m Me.w DA <br /> PHSIa:uo lkPMRD3/FnM PXIST ON THE ADORESS(ES) NOTED. YOOii MU BE NOTIFIED WHRN' <br /> 11ECORDSARLE9 ARB AVAILABLE FOR REVIEW: <br /> Dww 11+.��e m li.n.ears Wm . <br /> i <br /> i <br /> TOTAL P.02 <br />