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11-13-1995 05:317" ....FRITIl TO 1415EEC44OG P.02 y -- <br /> EH 00 L4 (REV 5/44) SAN JOAQUIN COUNTYU h Liv to QS/ZZ/o <br /> PUBLIC HEALTH SERVICES D / <br /> ENVIRONm"TAL HEALTH DIVISION W� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APpu �p e (.� Moo. -/tZ.o 2 PHONE NO <br /> ADD 5 <br /> A1GENC`t NAME. PHONE NO <br /> ADDR S <br /> FILE ADIIDRfiSS LEAD A ENCY UBT$ <br /> C-9 �fqo W` GH.,+-(a,i Wa.� -"t'cicw�.o (L-O? t: Ic o.nt"� D-t-e <br /> © LiH I F;le o'1' � a.(" <br /> p lS W Gn. 1-ar W.AL, - ( + a.$ oP rile a. l <br /> O Sob Cwt-.74..1--c.i (-.1.. ' -G�,w� eP .lc o•1! c�S•+�� _/� <br /> (cfy'1' S L.fr<at� 5-4. -SFPS LLoP F't� a„ .3S. �o <br /> JAY L: cote S+, -bd1 j (VS-V F;l• 5. n� <br /> THIS NO CH IS SUBJECT TO 7746 REQUIREMENTS IDENTIFIED IN "ITIS t'UPLIC HEALTH <br /> SERVI NVIRONMONTALMEALTTI DIVISION(ESD)POLICY#'94007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STAYS WATER CUDE. <br /> GOVERN T LODE AND THE EVIDENCE CODE. <br /> 1. A E.1OM OF TEN (10) PREMI9E ADDRESSE1 PGR REQU$TP. <br /> 2. P ELIC FH-BWRECORDS REVIEW Is EY Aj'1'QLN]jjENT ONLY_. AP"KTtAEwTS ARE ARRANOED aY <br /> CALLING (? M46S-3M1. OFFICE HOURS FOR APM1HiMENn ARE SCHEDDIBn MONDAY THRV PRIDAY <br /> EXCLUDI O HOLIDAYS, 8:00 AM To (2:00 NOON AND 1:00 PN To 4:90 PM. <br /> 3. A ��UEGC RECORDS RELEASE APPLICATION(PRRA) Is REQUDIDD. <br /> 4. 1 IILTC PILESIRECORDS Nor RETURNED IN T116 SAME CONDITION Al RECEIVED WILL E6 CORRECYBD <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. T1115 ADDITIONAL SEAMS WILL AS SICCED TO THE <br /> APPLICANTR PAYliBN7. (SEE SHD POLICY 94J107) <br /> 5. O IDINAL PUBLIC FILFS/RECORDS SMALL NOT BE RBMOVPD FROM THB RHD PREMIsE.9. ' <br /> SIGNATUOP APPLICANT �/v-�-c. DATE it 9 <br /> SIGNA7U OF RELEASING OFFICIAL. DATE <br /> NO PH D RECORDS/FILES ARE MENTIFIED: <br /> PHSIPHD RECORDSIFRE9 EXIST ON 711E ADDRESS(Et)NOTED. YOU WILL RE NOTIFIED WHEN <br /> AMORDSIFILFS ALIS AVAILABLE FOR REVIEW'. <br /> 0.n. erL�.�., Mvrn,anaw Ww: <br /> TOTPL P_02 <br /> hoc'c� <br />