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06/28/95 14:14 'i3'51 5 5388 ENTRIX INC. • 002/002 <br /> �� vc,-c4-i�z w•�orm r TO 151{79-S i68 F.02 <br /> F-H 00 14 (REV 5/94) SAN JOAQUIN COUNTY �QD �jS-I 7 7 <br /> PUBLIC HEALTH SERVICES b 3 �4 L j <br /> ENVIRONMENTAL EMALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Jf�Z r4GLaU9hl/v , 1=/ 1Z rnC . PHONE NOf510) 335-4490 <br /> AL)DRFSS_ ��j Y�n4uD Lia/�r� Sulle gac, Walnuf Creek cA 9`I59(, <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FLU-APDRM LEQD AGENCY DATE <br /> Knapp mrd- <br /> 555 N MQIn 5+ 140141Ma (;4 9533(, age$ <br /> ROW 0"s SL-5(o 1J Main Sr Man A 95336 <br /> P,vlJsan Clxln(rs TnC-600 hi,Main Sf A1drr/ 9533E <br /> B mh i`3-y9z - 570 N. Main sj 117 S`537(, <br /> 4muel Farrow- `LYO N- Main Mallfeca Y537G <br /> Lb LG <br /> THIS NOTICE 13 SUBJECT TO THE REQUIREMENTS IDENTIPIED IN LTC HfiA <br /> SERVICEVENVIRONMENTALHEALTH DIVISION(E -00 <br /> HD)POUCY A947, ORD 2 0)9"OF SAN <br /> JOAQUIN COUNTY, ,EHD FEES AND SERVICE CHARGE RESOLUTI ijp �TE WATER CODE, <br /> ER <br /> GOVNMENT CODE AND THE EVIDENCE CODE PERMIT/ AL HEALTH <br /> I. A MAXLMUM OF TEN (10) PRRMISa ADOR$SS$S PEk RRQUF3I. SERV I CES <br /> 2. PUBLIC FILESIRECORDS REVIEW m BT APPOINTMENT ONLY. APPOINTMENTS APR ARRANGED BY <br /> CALLINQ (20"ll-O340. OFFICE HOURS FOk APPOINTMENTS ARE. SCHEDULED MONDAY TMU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM To 12:00 NOON AND I:90 PM 10 430 pm_ <br /> 3. A PUBLIC RECORba RELEASE APPLICATION (PRRA) Is kegmm. <br /> 4, PUEuc FILV-vjRECORD9 NOT RETURNED IN THE SAME CONDITION AS REA=IVSD MU, BE Co"sc- o <br /> 6V THE E ID STAFF AT THE EXPENn OF THE APPLICANT. IMS ADDITIONAL SERVICE WILL BE BILLED TO TFi6 <br /> APPLICANT FOR PAYMEIPC. (SFE END POLICT 9¢007) <br /> 5. ORIGINAL PUBLIC FILIFSIRECORDS SHALL NOT Ba REMOVED Fko?A TIIE ERD PREMISES. <br /> SIGNATURE OF APPLICANT <br /> DATE cF ad 95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EJiD RECoRDs/FILSS ARE IDEMIIFIEDc <br /> No Lys A E <br /> Na,som.dne <br /> P RPJCORDArF s EXST ON THE ADDREM(ES)NOTED, YOU WILL BE NO irlim WHEN <br /> RECO FILES ARE APAILAM PDR XfiviLvr , <br /> Dane <br />