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RnNEY GEOTECHNICAL 916-371-18U9 9,� 3 !ul 10 i =v ^u <br /> SAN JOAQL74 COLrN-" <br /> / PLBLIC HEALTH SERVIC1rS T <br /> F_NNM()YN}1 N-rAL UEAL'LII DIVISIUN <br /> PISRIAC. RF.CORPS RSLEASE AI'L*LICATIOIY <br /> // EftVl ' t!F',ENTAL HEAI_Th <br /> AFFI.ICAIYI ���Pi �Fu7T[Lc1 PHaNs ti FlT � f�3� <br /> ADURFS5 V1 6'c'nccn r3/vee <br /> AGENCY NAn¢i, �i9N�y ��ar�c/r U�c�JG _Pf:QhtS * +4 <br /> ADDRESS _ <br /> RTLP AT7T]R•jy T,�A J]��'L Nr�tr)Al-9 .. <br /> �2oo7_N6Aj (snr2 <br /> 33 <br /> l7/7 ..Scnnvincfff; _._ <br /> THIS NOTICE I5 SU91Et.'T' TO TIM RPIJUIRnM11NTg IIIHtrLIPIED LN THE PUBLIC HEALTH <br /> SEAVICE5,7;N'fIAQNMENTAL HF.AI:RIT T�1475kIt'J (L•.}IL]J}Y�llT'Y Y�Z�TT,ORDtt:A.NCE COD&OP 9AN <br /> IOAQUIN COUNTY, EHD FEES ANTI SFCVII'1I L'HAAOE F.ESOLIMONS, STATE WATER CODE, <br /> QovmKMarr CODE AND THRs R"tii7N:1! 0,0111. <br /> 1. A hLA7CTSIti7d C)p'1i•.lr' ((1J) }�,+�liSE ADDF..FS3E9 PSP.F.EOUIST. <br /> 1. PTTBUIZ FITI_RlRI'MRA.9 REv1ERS W ABY d.EPAL`Hbi51ST9i�II.'i• APPOLI•.'C-'EEN ""i <br /> AP_VNGE,D IF( CAU.ING P"14 9.4040. OFFICE HOURS FOR A7FGNTMWT5 ARE SCHEDULED <br /> MONDAY THIIU FRITJAY PXI:L};VJNfj HOLIDAYS, 9:00 A.M.7V 12:00 NOON AND Saco PA, TO 4:30 <br /> P.PA. <br /> 3. A PI IULIC PV.DRDS RELEASE APPLICATION A:VD A DspasRi OF$7R.ml. <br /> NY<<ULRFD. DfiP09M WILL BB RETURNED Ta THB APFIICA.4=IF THE PTLD-rfRFCORDS ARS <br /> NOT A VAIL.A3LE wMUN TRE CUSTODY OF THE END. <br /> 4. TILE ABOVE IDENTIFIED DEPOSIT IS APPT317.1] TI)WARITS •RHE TOTAL FILE RIMRW PRTI <br /> CHAROI?. T}Id BALANCE OF THE UTARGPS ARR] UT:E!AND PAYABL�3.D=TO F.EVIE7/INO THH <br /> DOCU?.fBNT(S). <br /> J. PUEUC FTMVRF.CtTRDs N(TI'Rb7URNPD IN THE 9AMB COMPMON AS RECEIYRD TrILL BE <br /> CORBFCTF.D nY JRI: 14W STAFF AT THfi EYP145Ii or THB APPLICANT. 11415 ADDITIONAL <br /> SFA%1('E WILL B$ BTLLzu To THE APPLICANT POR PAYMENT. - • <br /> R. CRiaiNAL PUBLIC FT11311LECORDS SHALL`IG';BE REMOVTI) FR:.!M'1HE Em PRFatI9E4. <br /> 510NATUPSOF APPI1CAhT :' l_�-- J_ DATE 9 ` <br /> 3 <br /> SIGNATURE OF RSLEASINc OFFICIAL �- DATE <br /> E3{ 00 14 (RL"/ 12'911 <br />