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7-01-1998 10:d3Afl Flo AUVAIM—Mv wax...... <br /> ...... . <br /> SAN JOAQUIN COUNT-Y <br /> PLTBI.IC F3rZ.AL'M SERVICES <br /> F-,-VIRO, NM-,tAL J3EALTF,3 DTVLS1044 <br /> FUBLtICE,CORDS, RELEASE VPLICA1T0)V <br /> APPLICANT �_t FeRdefSo� PkiOIIE No (209) qua 7- 100L <br /> ADDRESS — <br /> AGENCY NAhfE-A IyRKesr) PHONE NO <br /> ADDRESS�Qjj� N %tc2 L�l {�c- �f►y lA 9S2o 5--4v . <br /> FILE ADD-RE-5.5 I A.#p AGei.cx DAT <br /> ?JJ? &'54 lot) "6 - �HSrND <br /> 2915 6: Leurse t La flim <br /> 2,fqq L2 <br /> pQ Lau,9G _ -- - - <br /> IGZy E- Loc+l$e e <br /> 'T w, 5Y- <br /> T';IS \OTICE15 SUBJECT TO THE RcQL''IREME!JTS IDE`ITIill- 1;: TH2 PUBLIC HEALTH <br /> ScRV1C}35i} ;J\i=0`:`dL•1JT:=.--iEALTHDlviSiON (iHr•) POLICY +'92 X17.CRGTATE. ATE CF Saar <br /> JOAC.'li1N COl•N:I-r', E1ill F'.c5 AND SER',l CHARG RFSOI_UTIO`:S, S'1':.TF_ WATER CODG, <br /> GOVER-NMENT CODE &%\D EvIDE::CE CODE. <br /> 1. A l•lAL1`.iU!NI CF TE` i1G) 1' Eh 7SE ALGRESSPS PER REQUEST- <br /> pl. PUBLIC F1LF- RECC=DS RE`.'lEW ARE BY APF(,%INTPIFNT ON. I-Y• A-Fo'i'•:TNAENTS ARE <br /> -ARR4??GPD-3Y�AJ=UXG 3)453-0?40. CFr10E I?01)' S FOR APPO1NT1MENTS ,�, SCIIL-DULED <br /> CI : I-LOLIDAYS 3:00 A-M. TO 12:00 .1;00N AND 1:07 P.M. TO 4::0 <br /> NfONDAY TJ'.RU FRIDAY r'�. _LDING . <br /> A PUcI-!C RECORDS cLEASE APPLI-C.NTION ;tND A ti0"-RLFU`JD ABI�E:DEPOSIT OF S-13.M <br /> IS RLQUIPFD. DEPOSITS "•i'! BE RETLiR.NED TO THE AppUC:kNNT IF TIaE FILFSiRECORAS ARE <br /> `iOT AVAIL4BLE 1YITTUN Tit CUSTODY OF THE EPD- <br /> 4. TIIE ABOVE IDE-NTrtED DEPOSIT iS APFI.JFD TOWARDS THE TOTAL FII,F RF-VIEW FEE <br /> CHARGE. 'IIIE B:lLf `CL C= THE CHAP.GiS ARE DUE AND PAYABLE PRIOR TO REVIFNVING 7TIn <br /> DOCi),MENT(S). <br /> 5. PUBLIC FILL-.S/RFCCRDS NOT REIURINED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRI CTPD BY THE 04D STAFF AT THE EXPfiNSE• OF THE APPLICU*IT. THIS P.DDITIONAL, <br /> SERVICE IVILL BE BILLED TO THE APFUCA,NT FOR PAYMENT. <br /> S. ORIGrNIAL PUBLIC FI` 55/RECOPDS SIJALL \OT 2BRFNIOVE-D FROA4l(IL- END PP.--',USF-S. <br /> DATE. O� vul <br /> S1U,NA1 UBW UY APF•I-IC.-N — I� <br /> SIGNATURE OF RELEASING OFFIC :LL. <br /> •rj,% 00 14 6ZI:v <br />