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• SAN JOAQUIN COUNTY 9 <br />PUBLIC HEALTH SERVICER <br />ENYIRON�lNJZNTAL, IMAL'IU DIVISION <br />PUAI,TC UP -CORDS RELEASE APMICA110N/ <br />AMlCANT pt'7/—'f// PHONE <br />ADDRESS 31 N o Sc --Il c'oN 3L6'D. Guts'Si <br />AGENCY NAl<I73 PHONE NO <br />v... r : :► My -FF <br />zKSo_Loort,s ,4,,E <br />�!v`9 <br />LcoH(.S i4uE <br />3Z,3'3 <br />237 3 <br />C oON 15 <br />/'l A R- i Fos A A1)E <br />24'31 <br />373o <br />MAa-1 P66 F1 AUE <br />P1ufSFGQD Au C7 <br />3")SS <br />FA V N Fo/LI'N� IL'Uc <br />Z(sb� <br />M0NFo21) AOC <br />Loc -mi s / %__ <br />RECENED <br />F 4194 <br />--. _— SAN 10AQI IIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENV IRONMEAIAL HEALIH DIVISION <br />THIS NOTICE IS SUBJECT TO T1111 RPQ(IIRIIM)INT9 111UN-11FIED IN THE PUBLIC HEALTH <br />SERVICES/EN'IMONM13NTALHEA1.T7f TJIlT91()N (11140) I1111(!Y V24M, ORDINANCE CODE OF 9AN <br />JOAQUIN COUNTY, MD FRES ANT) CPRVI(:14 04AROE RESOLUTIONS, STATE wATUR COD&, <br />GOVERNMENT CODE AND THE RVIT)r.N(!TI <br />A MAXIMUM OF T'T!N (U)) PREbllSE ADDRE9999 PER REQUEST. <br />2. PUBLIC PI1.17NIR11('090.4 REVIEW ARE BY APPOINThgg QM. APPODt M$NfS ARE <br />ARRANGED BY CATJJN(T ;hw)4fR-(p40. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THMTI FRITIAY Px(!LUU1N0 HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. T04:30 <br />P.M. <br />1. A PUBUC RECORDS R-ELBASE APPLICATION AND A JLQ&3Xj3E3jjAW DEPOSIT' OP S78.00,,. <br />N NT_+(1UM D. OSTOSIT9 WILL BH RETURNED TOTIM APPUCANT 1P THE MLBS/RPCORDB An <br />NOT AVAILABLE WITTUN THE CUS'T'ODY OF TtM RHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT 18 APIY11171) TOWARIJS THE TOTAL FILE REVIEW FM <br />CHARGE, THE BALANCE OF THE CHAR(IPS AR 13 DUB AND PAYABLE pgjgg TO REVIEWINO THE <br />DOCW41INT(S). <br />J. PUBLIC FILNSIRRCORDS N(Ji' RhrURNED IN THS SAME CONDMON AS RBCMVtD WILLBE <br />CORRPCTF.D nY T'HH PHO STAFF AT THE EXPENSE OF THE APPLICANT. TH19 ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT POA PAYMENT. . <br />K. ORIGINAL PUBLIC FR.BS/RECOADS SHALL NOT BE REMOVED PRUM'1'HS EHD PREMLSES. <br />RONATURE OF APPLICANT (. DATE <br />31GNATURE OF RELEASING OFF141AL DATE <br />EH 00 14 (REV 12141) <br />