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. _�FROFI : FHASE ONE DIVI FITAL INC FFbNE 140. : 209 So9 <br /> 1U A�GJFJPS I'.US <br /> LL <br /> EF3 00 14 (REV 5194) SAN JOAQUIN COUNTY; 4 IIIV 1 <br /> PLMLIC TWALTn's>rxvIc s <br /> ! ENVIRONMENTAL TIEALTIi DZYISION <br /> { rm= RECORDS REIrEASk1 LfICA` J&34 <br /> APP14CA <br /> { ':ac o- L ., 4 lard PIIIONE NO�5(o9 <br /> AIVRMS ! N37 Verif-MAV3 A -rsV� "` 5--'-4 P ONS NOS T <br /> AGP�ICY AiVff3r kyt+I ��, 1 <br /> ADI FEV; — <br /> AD . � L ZATI A .HN `r: DATE <br /> i <br /> D F S C•W5 ESD <br /> [✓ d/ S ° r <br /> O i . <br /> THIS NOTIC 1S siSsjECT TO 7113 ASQUIREMENTS IDENTIFIED IN THH PUBLJC 14EALTI4 <br /> SCRVICES/HN RON1dENTALSEALTH DIVISION(EHD)POt1CY!!Q4 007, ORDINANCE CODE Or SAN <br /> JOAQUIN CO 1=I:ID FEES AND SERV1Cfi CHARGE RESOLUTIONS, STATE WATER CODE, <br /> COVE.RNNIENT CODE RND THE EVIDENCB CODE - <br /> 1. A IMUM OF TEN (10) PAFMISE ADDABSSSS PER AEgVLTr. <br /> 2. Pusu PILFS/R$CORDS REVIEW I3 ay APPOINTMENT ONLY. APPOINTMENTS ARE ARAANOED By <br /> CALLING (20 )469-0310( OPPICE 11OU93 FOR APPOIN I"NOTS ARE OCREDULED MONDAY THRU FRIDAY <br /> EXCLUDING OLDAYS, 9:00 AM TO 12100 NOON AND 1.00 PM TO 4:aO Fhl. <br /> 3. A Pus i C REccews Ral."z APPLICATioN(PARA) IS REQUIRED.` <br /> 4, PUBLIC PiLEViA COADS NOT RIr mao IN 7}16 SAME CONDrrIOH A3 RECEIVBD VnLL HE CORRELTSO <br /> BY THF••EIID;77AFF AT 'r" EXPENS9 OF THB APPLICANT. THIS ADDMO)14AL SFJ[V10E WILL BE aILLED TO THE <br /> A.Mickrr CCA I�AYMEN7.:(SEB EHD POLICY 944XM , <br /> S. ORIOP'VaUC�ILMRIECORDS 3HALR,NOT 89 REMOVEb FROM THE RHD PREMISES. <br /> SiGNATUEO APPLICANTCVfI_ � DATE � �StGNATURS�FRSLE�SINUOPDATE � <br /> _ - <br /> _ <br /> No PHS/EI#DlRacORgSh IL0 ARE IDENTIPIEDI <br /> hm knwrr w, fknn 0 ,.. I� <br /> TIPI <br /> PHS/P1-RD,,R.,E't�O"RD3fFILES 6XiST ON THE ADDAESS(ES) NOTED. YOU ML EE NOE•D WHEN <br /> RECORDS/F1I4 ARE AYAILABL6 YOR REYIEIY; <br /> .o+>ti I Ra.e.w.n. Ron.oww.w,r <br />