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GU I tl.flt•u I.HL ItL ; y1O-orl-laUJ NOV 22 '`J4 11 :6S ND .U05 P . 02 <br /> i <br /> Flt O� 14 (REV ,3/94) SAN doAQU1N COUNTY <br /> PUBLIC 11RAL111 SERVICFS <br /> ENVIRONMENTAL IM,AJAll DIVISION .F y <br /> PUBLIC-RECORDS RELEASE APPLICATION <br /> A.PJ'LIICAN7' ,/ �rC'/- T5 tl "/�Ct Yl _PHGINB NO�Q v <br /> ADDAPS5 - <br /> Ac3FslcY NAM.S_ f U6,.� SfdP1IVNB Nu <br /> ADD1135S <br /> I <br /> FJLJ3 PLDDE SS AL113lYC Y J L <br /> Ila- <br /> --.at rar �ii <br /> THIS NO77CE IS SUHIFECIT TO 7718 REQUIRIJAIBMIS 1139fT7FIHD IN THE PUBIJC HEALT11 <br /> SERVI ESIENVJRONMEN'1AL"EALIH ULYMION(WID)PUUL;Y 1N4-U011 URUINANUlJ(.v1JIJ UI'SAN' <br /> JOAQUlN COUNTY, EHD FEHS AND SERVICE CHARUl( RESOLUTIONS, SPATE WATaR CODE, <br /> GOVEI✓!NMRNT CODE AND THE EVIDENCE CODE. <br /> I <br /> I. A MARBAUM OF TEN (10)PitEMISE ADDRESSES VER REQUBST. - <br /> r: <br /> 2. pugm FILEl91RECORW REVIEW N eY APPOINTMENT'4NI APPoiNTMENTY ARE ARRAHOFD By <br /> CA;LIJ170 11091468-0)40. OTPJCR Moults POR APPOPTTM6P M ARE RCNeOtJLEb MUHUAV TFMU PkibAY <br /> EXCLUIDINO 1101JDAYS, 5100 AM t0 11:00 NooN AND 1:00 mi To 4:30 PM. <br /> 3. A Pvsue REcORbs RELEASK APPLICATION (PRRA) IS RRQUJRRD. <br /> 4. I PUBLIC Fll_HS/RECORUS NOT RETURNED W THE SAME CONDII JUN AR RECEIVED WILL BA COIIR6C'T6D <br /> RY TIIw. RM srAPw AT TRH EYPIWK OP TNH APPI.V.'AIT. r"Is .nrm"AL iV.VICR WH L Skit l+r/LHb YO T1+8 <br /> AFnXANT FOR VAYMFMT. (SEE HHD Poucr 94-00'1) <br /> I <br /> S. 0MINAL PUBLIC IIIMMICORDS SAALL.Not of REMOVED PROM THE END NIEMISES, <br /> 100HAtUPLE OF APPLICANT DATE / — 7 4W <br /> SIONAtURE OF RELEASING OFFICIAL DATE <br /> No P( WPllb(IECORbVFILES ARE E7ENTIDIED: <br /> PH§VWD Rcconb9JFMCS MOt UN VMS AUMM(M)NOTRD. YOU WILL NO YAMIPMO WHISH { <br /> PccomDiumil8 Aim AYALLARLR r ult RCYIR'A: i <br /> TOTFL r.OT <br />