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Awl <br /> 08/26/95 14:14 051 5 $368 ENTRIX INC. <br /> �- r4v-c•.-t�-s. no•�onn <br /> TO 151{]9S�55B P.02 <br /> Ell 00 14 (REV 5/94) SAN JOAQUIN COUNTY Ap tL 4� �i5—I 7 7 <br /> PUBLIC IfEALTTI SERVICES <br /> EN' MONMENTAL HEALTH DIVISION N Lj <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCA T Mr_ h/�%� �AmziX enc. PHONE NO.(5/0) `735-9?Ro <br /> AL7DRFSS9p {,tlalnuf Crecy CA 9y57& <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDR S D AGENCY DATE <br /> Knapp Fvfd-- <br /> 555 AI Main sf. N01114 ea CA 8533(, A �� <br /> Rte/ az 27--SL-5!o )J Main Sf Mon A 95336 <br /> 1ws ClfIners TnG-GipO .Marn S� Maekm 9533(, <br /> 70 N. /Wain S an '15336 <br /> ciarnuel Prow- S�yo N. A-0aly ILVjanfeca 4 <br /> THIS NOTICE IS SUI318CI' TO THE RHQU1REiMENTS IDE NTTPIRD IN } LTC HEA - <br /> SER VICE-VF-NVJROKMEN`TALHEALTH DIVISION(END)POLICY#94-007, ORDIIVAN CSB OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RRSOLIM7 I�ATTg WATER CODE, <br /> GOVERNMENT CODE AND THE BVIDENCE CODE. NMENTA <br /> PERMIT/SERVI CES HEALTH <br /> L A MaxuLlnl oa TTN (10) PREMISE ADDRI95HS PERRLQHesr. <br /> 2. PUBLIC PILESMECORDS REVIEW Is By AEWNTMENT ON)LY1. APPpiMmENra AVE ARRAN06D BY <br /> CALLING (209)46"340} OFFICE HOURS FOA APPOINTMENTS ARE SCHSDULBb MONDAY TIMU PRIDAY <br /> EXCLUDING HOLIDAYS, B:DO AM To 12:00 NOON AND 1:00 PM To 4.30 PM. <br /> 3. A PUBUC RECORDS RE,sm E APPLICATION (PARA) IS REQUULED. <br /> 4. PUBLIC FILERSIRECIORD9 NOT RETURNED IN THE SAI-Ir CONbITION AS RECEIVED WILL BB CORRBcl-BD <br /> BY TuE MID STAFF AT THE EXPENSR OF THE APPLICANT. 11118 ADDITIONAL SERVICZ WILL IM IMLLE D TO THE <br /> APPLICANT FOR PAYMENT. (SFS, RHD POLICY 94-007) <br /> 5. OMOINAL PUBLIC PILESMECORDS SHALL NOT BE REMOVED FROM THE EHD PRBMISr <br /> SIGNATURE OF APPLICANT r DATE ad 95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> E <br /> EcoRDS/FILBs ARE IDENTIFIED; <br /> E'qo <br /> DS/FiLus EXIST oN THE ADDRPSS . YOU WILL BE N(Mr ED WHEN <br /> ARE AVAILABLE FOR JLSVIEIv:tnwm m <br /> d.m <br /> 11 <br />