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itII da iA (REV t/94) 1-. SAN joAQWN C UUNTY <br /> pUgUid IItAtilt EItV EA �. <br /> tNViRoN(ENTAL III I DIVISION <br /> PUBLIC IttCUPW9 kt, E APPLICATION <br /> APPLICANT PHONt :NO <br /> ADDRESS <br /> AGENCY NAME q- 7,TsSCJZ- PHONE NO �30 g <br /> ADDRESS 7 <br /> V� FILE ADDRIS5 LEAD EN Y ' <br /> IM <br /> p w rzt —1/ <br /> v liap w- 62 <br /> r / _ tali 43 •�/D <br /> 13 7-0 T 14 <br /> - <br /> p - r,c SIF LDl� _� � '� ---- <br /> p l_ �r ! - r r� `"Sfnaz a: 3 i <br /> ]3C-1 o�9 lap <br /> G/1 _ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENI IED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#94-001, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RF-SOLUT1ONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I, A MAXIMUM OF TEN (IO) PREMISE ADDRESSES PFRR.KQU ���{`li.-d�l�iiia <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINT E 'T ONL .44 APP�d"ENTS ARE ARRANGED BY <br /> CALLING (209)469-0340. OFFICE HOURS ICOR APPOINTMENTS ARWW kNdbULEb MONDAY TIIRU ,FRIDAY <br /> EXCLUDING HOLIDAYS, 9:00 AM To 12:00 NOON AND Im Pm To 4:30 PM: �{ oA y <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) Is REQLua4RM <br /> 4. PUBLIC FILES/RECORDS Not RETURNED IN THE SAME cONDITION As RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. T IIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLI OR S SHALL NOT BE EMOVED FROM THE EHL) PREMIS . <br /> SIGNATURE OF APPLICAN J DATE <br /> SIGNATURE 01,RELEASING FFIC1 L DATE <br /> NO PHSIEHD RECORDS/.FILES ARE IDENTIFIED: <br /> VMlTH Itgv w%im f1'! ?kMnCA-n DATE! <br /> 1 <br /> l <br /> PHS/EHD RECORbS/FILES EXIST ON THE ADDRESS(ES) NOT D, YOU WILL BE NOTIFIED WHEN i <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: ! { <br /> ' T?Atp! RHY19r�n! NvreFrca DArn: i <br /> i <br /> A u G 24 1994 <br />