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Ell OU 14 (REV 519410 SAN JOAQUIN COUNTY • � , Q, ��� qs-/aS <br /> PUBLIC IIrAL'TIl SERVICES f`I <br /> ENVIRONMENTAL IILALTII DIVISION Gia 3� y <br /> PUIILIC RECORDS RELEASE APPLICAMN <br /> i APPLIC 1 qCl/� �l! LER P90NI3 NO(SlO) -5 5- 100 / <br /> 1 ADDRESS I R4 `/25 92"I D Y 2nKL.4"Z 116 T <br /> t AGENCY NkMB: : PHONE NO <br /> ADDRESS <br /> ! <br /> FILL ADD LED AGENCY LUAU <br /> 92y V Al 9uR&Uv 51 . N SrOCXTa✓ -- COUNTY IR-OCR LL vale. <br /> Lf Q WE] F MOAT ST SlOcxr� . <br /> . 1 _ <br /> 4 32 I s dA/ Totx Td^1 <br /> $os R E uc>`fd^l <br /> S'OS L c oc�ro.• <br /> 5/ VV n+o �. 5 c✓ro.J <br /> 4�11 F FMd o^i <br /> i <br /> I <br /> Tills NOT1 IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ NVIRONMENTALHEALTR DIVISION (E•IID)POLICY#94-001,ORDINANCE CODE OF SAN <br /> 1OAQUIN UNTY, :.MD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOvERNM NT CODE AND THE EVIDENCE CODE. <br /> fI. . A AXIMuM OP TEN (14) hRsi.1LSB ADDRESS69 PER REQussT. <br /> j2.: Pucuc FILESIRECORDS REVIEW Is By APPOINTMENT ONL'V• N'POINTMEME ARB.ARRANdRb By <br /> i CALLING "-W40. OPPiCE IIOVRS ISR APPOINTMENTS AR6 SCHEDULED MONDAY TIIRU PRIDAT <br /> EXCLUDING HOLIDAYS, S:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> A I muc RECOR09 RELEAss APPLICATION (MRA) b REQUIRED. <br /> 4. Pun ,Ic FH..ESIRECORDS NOT R6Tumm IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY:THE END STAPP AT TH& EXPEms.OF TIB APPLICANT. 'TN13 ADDRIOHAL SERVICS WILL B$ $ILLED TO TNS <br /> ! APPLICANT FM PAYMENT. (SEB END POLICY 94-001) <br /> 5.. ORICIINAL PVBuc FILEVRECORDS SHALL NOI RE REMovw FROM THE END PREMIJns. <br /> Fs <br /> SIGNATURII OF APPLICANT DATE <br /> SIGN ATUR OP R$[13ASiNO OFFICIAL DATE <br /> No PHS/ D REcoRDSIFILEs ARE IDENTIFIED:. <br /> PHS/ENDI RECORDSfFH p3 POST ON THE ADDRESS(ES) NOTED. YWI WI1L SC NOTIPIFD Y{•HQN' <br /> RECORDSAFILES ARE AVAILABLE FOR REVIEW: <br /> O�w, I Ilw.�e m Ilv.�+a p.a <br /> ! <br /> i <br /> i <br /> TOTAL P.02 <br />