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♦ir yr:-i.._._ c�:,,r�.rl FI:CN'i . ... _. . . . . . . . ... <br /> TO • I51r.7i�aEU6 P.Ctd Uni'� <br /> EI( 00 14 QMV 5194) • SANJOAQUIN COU ( <br /> NTY IAx Z04)41.4-t�138 <br /> PURLIC 11I17AL.TII SI,RVIC)?S /� <br /> ENVIRONMENTAL I1RALTIIDFVISION f/Xo /f"PuiPu) 7y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT &vQA I_T'")6'I'110NE NO <br /> AbDA.E.SS�2 b�I�sEPr� tcwrel;_: j <br /> AGENCY NAME _ �SFn11Lt� -yTa <br /> ADDRESS - •s���7�! <br /> PHONE NO <br /> �dl�Al)f�R1 SS L33AD AC_, ,_)_pd�y_ <br /> I)AU <br /> Bobs 3VDy dfloP Ig G. EtC�!)TIt �T sAA JoAW, GvL) <br /> - -- _ -----_ <br /> SJ AL_ Bun ef� 6 4 Iggo <br /> N6erClt _�ELS I FIST—Ti, S_T• <br /> DAL_J 1bJF�S _I t h5T s1 • „ — <br /> M <br /> 71115 NOTICE IS SUBJECT TO THE RLQUIREMENTS IDENTIFIED IN TJIE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL IiFa\LTII DIVISION(EHD)POLICY#94-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CODE,CHARGE RESOLUlTONS, STATE 1VATElt <br /> GOVERNMENT CODE AND THE EVIDENCE COUE. <br /> t• A MAXIMUM OF TEN (10) PREMISE ADVRES3E3 rER kF.QUEST. <br /> 2. PUAUC PILES/RECORDS REVIEW Is BY QJ'POINTh1ENTONI <br /> By <br /> CALLINV (209)466-0340. OFFICE IIOURS FOk APPOINTMENTS ARE aSCHEDULED hjoNDAYETIRRONGW(`ADAY <br /> FXCLUDING HOLIDAYS, s;Uo Ml TO 12:00 NOON AND 1;00 Phi To 4;30 rM. <br /> 3• A PUBLIC RECORDS RELEASE APPLICAI7ON (FRRA) Is REQUIRED. <br /> 4. t`llBIJ('. FILPSAMCORVS NOT RETURNED IN TII6 SAME CONbt11o4 AS RECEIVED WILL Bp <br /> COMECTp <br /> BY THR EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL IIB 1MLLFD TOTHE <br /> APPLICANT FOR PAYMENT. (SBC END PODGY 94-007) <br /> -r'• OMCINAL PUAUC PILES1RECORD$ HALL No(BF. RalOVED FROhl THS FHD I`REMISPS. <br /> $rCNATURg VF APPLICANT DATE / 3� <br /> SIGNATURE OF RELEASIN(i OFFICIAL <br /> DATE <br /> No PHS/EHD RECORDS/PILES ARF. 70ENTfF1ED: �— <br /> Mo, Rmras.n <br /> Ibrne.n.r M*r: <br /> r'HS/NHD RLCORDS7FILES RXIST Ott TIM ADDRESS(F-1) NOl ED. YOU IVILL BC NOTIFIED 11TIEN <br /> RECORDSIMI.FS ARF AVAILABLE FQR kEVIEW; <br /> H.nT4.wM MnC <br />