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10/25/94 09;40 FAX 918 372 8781 GROUNDWATER TECH <br /> -- _ - - X002 <br /> Ell 00 14 (REV 5/44)• SAN JOAQUIN COUNTY <br /> PUIILIC H ALTTI SERVICES / o <br /> ENVIRONMENTAL HFALTH DIVISION / 3 S' <br /> rr PUBLIC RECORDS RELEASE APPLICATIO <br /> �N ° S` <br /> APPLICANT Csv� f+ �«.( T�� _ PHONE Nc&16� 7;- -l 90 z,, <br /> AbDRE55/`/0/ f{ rv ' GD Srw`Jc /Yo 4JerT S4- cj!j '737-6 5/ <br /> AGENCY NAMES-<Al 70 C> _ R11 4;.IK PITONS N00wgl4u-o390 Xg <br /> ADDRESSpo ter _cA- 03,'P <br /> FILL ADDRESS LEAD AGENCY DATE <br /> Ses!-pY r'T//3��rad�' l2P'P' r <br /> T141S NC7TICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SSZVICES/ENVIRONMENTALnFALTH DIVISION(EHD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> I- A MAXImm OE IFIL(I0) PREMISE ADORF$SRS PER REQUEST. <br /> 2. Punic FILEVPECORDS REVIEW 19 RY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BT <br /> CALLING (204)468-034U. OGFLCB HOURS FOR APPOINTMENTS ARE SCIMOVLED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 9-00 AM To 17:00 NOON AND 1:00 PH To 4;30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPucATION (PRRA) A REQUIRED. <br /> 4, PUCLIC FILES/RECORDS NOT %knURNED IN THE SAH& CONDITION AS R6CFIVED WILL BE CORRECIED <br /> BY TYPE EHD STAFF AT THE EXPENSE OF THE APPLICAPTT- THIP ADDITIONAL SERVICE WILL BE BILLED I'D we <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94007) <br /> S. ORIGINAL PUBLIC FILM/RECORDS SHALL NOT EE RE.fOVBD FROM THE EHD PRoA15w <br /> SIGNATURE OF APPLICANT �c ' DA"IT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> ElNlz.�PSIEHID Rl coalls/,FILES ARB IDENTIFIED; <br /> HD RFcoRDS/PILEs EJQ4Y ON rlJh ADDRESS(SS) NOTED. YOU WILL 86 NQTIFIED WIZEN <br /> DSIFIL.ES mm A7AIJ.AULE FQR REVIEW: <br />