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(v ` E11 00 14 (REV 5194) SAN JOAQUIN COUNTY <br /> PUBLIC REALM SERVICES <br /> ENVIRONMENTAL 1IL'AL131 DIVISION <br /> V PUBLIC RECORDS lWLEASE APPLICATION C = <br />� h� APPLICANT .S)e- 60hlot Q PHONE NO .3YK- 2- <br /> 3 ADDRESS I i <br /> 3� AGENCY NAME r4ZUn r ,SCbC/u s P NB NO <br /> r ADDRESS Z. s- /-*�J'' a <br /> 4� <br /> I-ILE ADDEM LEAD A JENCY i28." <br /> 47, 1 C fil i-el- .S t' <br />�.`� �� ♦ '�3-S' ('Pn,ks--s � £ft � l.�T.�G� 6> �'9�.3/ ��r3�!?'y <br /> THIS NO'IICE IS SVBIEC'L' TO THE REQUIREMENTS IDENTIFIED IN THE PUBLICH�ALTH <br /> SERVICE/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#94-007,ORDINANCE CODE, IV SAN <br /> IOAQUIN COUN'T'Y, EHD PEES AND SERVICE CHARGE RESOLUTIONS, STA'L'E WATER �CODE, <br /> GOVERNMENT CODE ANDT14C EVIDENCE CODE. .� <br /> I. A MAXIMUM OFTEN (11)PREMISS ADDRESSES MR REQUEST. <br /> 2. PUBLIC FILL�.S/RECORDSREVIEW Is BY APPOINTMENT ONLY, ApPoINTMF.N[TS ARK ARRA 06D By <br /> CALLJNO (209)468-0340. OFFICE HOUR) FOR APPoittiM6NTb ARE SCHEDULED MONDAY T11RU{,E'RILIAY <br /> EXCLUDINO HOUDAYS. 8:00 N4 TO 12.00 NOW AND 1:00"410 4:30 PM. <br /> i <br /> 3. A Mum RECORDS RELEAM APPLIC,ttiON (PRRA)u R6QUaegD. ! <br /> 4. Pusuc FUZ-VRECORDS NOT RETURNGD IN TIi6 SAMtl CONDITION AS RSCBiV$p WILL 81i CORRECTED <br /> I3Y THE EHD STAFF AT THE BX"MB.OF•1.11$ APPUCAMT. T1113 ADDITIONAL B$RVws WILL B6 BILL61,To TILE <br /> AP/UCAtfr FOR PAYMENT. (SES EHD PoucY 94-007) ' <br /> S. ORMNAI. ,PUBLIC E'LLESIRECORDS SHALL NOT or,REMOVED FROM THE FID PRCimisg9. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OP RELI3ASINO OM- CLAL ' DATE 11 <br /> „ <br /> No PHS/ERD REcORDs1I=1LES AAfi IDENTIFIED: I <br /> w.. �a.4....r Wo-w......D.M. I <br /> PHSIEHD RECORDS/FILES EXIST ON TIM ADDRES (ES)NOTED. VOU WILL BE NOTIF r&D WUEN <br /> RECORDS RLBS ARK AVAILANX FOR REVIEW: <br /> • i <br /> WL2519 <br />