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I".RG'.-25-1 1a�s_ Irl GEOLOGICAL TEC44105 TC 4te4f�11 r <br /> Ell vv 14 (REV s/94) SAN JOAQUIN COUNTY '70- 073 <br /> PUBLIC HEALTII SERVICES / , - � � <br /> EN VIRONNIENTAL HEALTH DIVISION �1/VI:(. mT <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AFFUCA1 tT s7a�l e PMNE NO 3.3 if G 4/,;? <br /> ADDRESS : <br /> AGENCY NANO <br /> ADDRESS <br /> F92- ADD1iESS LEAD AGENCYDA/JllTE <br /> 3. 4 <br /> i <br /> THIS NOTi f3 SUB78C'I• •TO THR "QUIREWENTS MMMFIED IN HE PUBLIC HEALTH <br /> SERVICEW RONIIAHNTALHEALTH DLVISLON (EHD)POLICY 04-007,ORDINANCE CODE OF SAN <br /> JOAQUIN CO END FEES AND SERVICE CHARGE RESOLULIONS, STATE WATER CODS <br /> GOVERNdJEKT CODE AND TEE EVIDENCE CODE <br /> 1. A MA7 imuM OF TEN (I0) ?RLAUSS ADDAMES PFA RBVUgsr. <br /> 2. <br /> C PVgLT4 FILESMECORDS REVIEW IS BY AMU99—�'I.ONLY' AMOnMMM AAS ARRANUM BY <br /> ALLlNO (2 } '0340L OFFP= "OURS FOR APPOBrcMeM ARE SCNBDUCED MONDAY TARU t•RLDAY <br /> EXCLUDING HOLIOAY5, 8:90 AM To I2:00 NooN AND I:OO LM 7o 4:30 PAM. <br /> 3. A PUm=l RSc uRm RELBAsR APrXATfon (PR1LA) D REQLTDtEO•_ <br /> 4. PUmx' Lt /RECORD3 NOT R <br /> gYURNED W TIM SAME CONDLI76N AS RBCWW WLLL gg CORRE=r <br /> BY TAE'ERD STAFF AT TRE Expa s; OF-MR,APMMAMY. 'IN13 ADDMYLONAL 36R VKj WILL BE KLLW W To •ntE <br /> APPLICANT FOR MTME747_� (SUB EM POLICY 94-007) <br /> S• ORWaAt JBL)C '{IX-S1RR;iC MALL Not'Bs Rzmov D M THE EHD P1tg c=, <br /> SIGNATURE()p APPLIG41-r DATE 3 L <br /> SLGNATUREVF REi,EAS(NG OFFICIAL <br /> DATE <br /> NO PHSJBHD+RBcoaWfrjLFs An WanWlm: <br /> PIiSlF�ID RMORDS/FfIM MIT ON 7MR An(3403(BS) MaM. You WILL,BE NOtIPIw WMV4 <br /> RscoAasmL cs ARE AVAILAfiLE PDR RZVMW; <br /> TOTAL P.02 <br />