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-- EII OU 14 (REV 519A SAN JOAQUIN COUNTY , <br /> PUBLIC IIEALIII SERVICES / �a <br /> f,NVIRONNITNTAL IIEALIII DIVISION V <br /> PUBLIC RECORDS ILLLEASE APPLICATION ��wLf 47 <br /> �,n PRONE NO <br /> APPLICANT �'D <br /> ADDRESS Un S p�Ju f p1ONS NO 3 LT.o0 <br /> AGENCY NAME p3,,, 4, <br /> ADDRESS <br /> DDRESS <br /> LN.AD A.1.Ii:rI�K D� <br /> 7r fj�.yv <br /> '}'v i S4 it -j'Ovg �.✓ Cap �— <br /> �.af <br /> 7J/ Tpn `r�Sw�— £ f{' rrrSG -7�Jz�YY <br /> 71115 NOTICE IS SUHIIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUIDUC 13EALTH <br /> SERVICFS/ENVIROIVhIENTALHEALTH DIVISION (EHD)POLICY#94-007, ORDINANCE CODE,OF SAN <br /> JOAQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATERICODE, <br /> GOVERNMENT CODE ANDTIIE EVIDENCE CODE. <br /> J. A MAXIMUM OF TEN (111,1 PRBMISG ADDRESSES PER REQUEST. <br /> 2. Pueuc F1LESiRECOR DS REVIEW <br /> Is Br,&PPOINTMENT 911L.Y• APPOINTMENTS ARG ARRANGED 8Y <br /> CALLING (209)468-0340. OrRcg 110(m rOR APPOUTTMENTS ARE SCUEDULW NIONDAY TIIRU FRRJAY <br /> EXCLUDING HOLIDAYS, 9:00 AM TO 12:00 NOON AND I.00 TM TO 4'30 PM. <br /> 3. A PUBLIC RECORDS R'I.GASG APPLICATION (PRRA)IS RMU1R&D. . <br /> A. PUBLIC FILSS/RECORDS HOT RETURNCD IN THIS SAM&CONDITION AS AECEIV£D WILL 88 CORRECTED <br /> BV TIIE EHD STAFF AT THE JXMSE OF THE APPLICANT. THIS ADDITIONAL SFRvtC& WILL GG BILLED'TO THE <br /> APrLICAPTT FOR VATMENT. (SFE EHD POLICY 94-007) <br /> $, ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD FREMISEI. <br /> DATE• �— <br /> SIGNATURE OP APPLICANT <br /> SIGNATURC OF RELEASING OF1710AI. <br /> DATU <br /> NO PHS/E17D RECORDS/FILES ARE IDENTIFIED: o.rn <br /> PHS/EHD RSCOA DSIFILE3 0137 ON TI18 ADDRTSS(GS) <br /> NOTED. YOU WILL 88 NOTIFIED WHEN <br /> Rr,CORDSIPILES ARR AVMLASLE TOR REVIEW: t`nne..w MM <br /> D.�. .�m <br /> i. <br />