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E11 OU 14 (RE,V 51940SAN 1CIAQUIN COUNTY <br /> PUBLIC 111;AL'I"II SERVICNS <br /> ENVIRONMENTAL I1EALT11 DIVISION <br /> I'U11LIC RECORDS RELEASE APPLICATION <br /> APPLICANT'' tl,.i. �e n PHONE NO___.._ <br /> ADDRESS P110NE NO <br /> AGENCY NAME A4 rb7tin , = _r es <br /> ADDRESS I7 -,-2 ^C girnmPrre (�x `SSC l».I /APs 95P f� <br /> FJU ADDKTi55 I- AI) MENU Mn <br /> p n <br /> �?Z ►.1 ���� tial 4 <br /> 11� t.1 • W.Isom <br /> -Val <br /> els 2n - <br /> oz s W• tsar <br /> 4410 0 FY1, , '1000 <br /> ��" <br /> • <br /> THIS NOTICE IS 5U6.IEc-r TO THE REQUIREMENTS IDENTIFIED IN WE UC. HEALTH. <br /> SERVICEVENVIRONMENTAL HEALTH DIVISION(END)POLICY M-OW,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END, 17VES AND SERVICH CHARGE MOLMONS, STATE WATER CODE, <br /> GOVERNMENT CODS AND THE EVIDENCE CODS. <br /> 1. A MAxIMu14 of TEN (IO) PRFJNIsr ADDREssas PWL REQuur. <br /> 2. Pusuc FILES/RECORDS REVIEW Islay APPOINTMENT ONLY, APPoINtMENTs ARE ARRANorD sY <br /> CALLING (209)468-0340. ' OFFICE LouRs faTM <br /> R APPOINTMENTS ARB SCIIEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:90 AM To 12:00 NooN At4D I:U9 PM To 4:30 PM_ <br /> 3. A POBLic RBCORDs RBLuAsu APPLIcAmN (PRRA) is itrqumED. <br /> 4. PUILIC FIL.WRECORDS NOT RETUIWED IN TNM sAMa CONmrloN As RECEIVED WILL Ba CORRECIGD <br /> EY THE EHD STAFF AT TILE RXMI45EI UP TNB APPLICANT. Un ADDITIONAL BF7LVICE WILL Be Dw-ro TO Tim <br /> APPLICANT FOR PAYMENT. (SEE MiD POLICT 94-007 <br /> S. ORIGINAL PUBLIC FILUSIREC'ORDS 314ALL NDC Be RPAiOVEO FROM TNR W PRWNIBEs. <br /> SIONATURU OF APPLICANT DATE <br /> 5lONATURS OF RELCASINP OFFICIAL DATE <br /> No PHSIEIID RECORD9/PILM ARB IDBNTIP11W: <br /> Wtt tivm�.n Nmrtrn��fz,nc <br /> PUNEHD REcroaas/FILMs iLxmr oN THE ADDRESS(ES)NOTED. YOU WILL HE NOTIFIED WHEN <br /> REL`ORDS/FiLM3 ARS AVAIEAULt FOR REVIEW! <br /> ryar l..�.w ne Nom,e.,wn bn.s <br />