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11-13-1995 05:31...,FRab y V TO • 1415SM4406 P.02 <br /> EH 00 L4 (REV 5/44) SAN JOAQUIN COUNTY Jti( v-� <br /> PUBLIC IIEALTH SERVICES D UAA�4 3 Y q <br /> ENVIR0MJENTAL HEALTH DIVISION <br /> PUBLIC RECORM RELEAM APPLICATION <br /> ArPu PHONE NOe- <br /> 415 1 s8a - rs�{8 <br /> ADD 5 Bio W k-j I44n4-Z,4w ,c= S+, 7_0 , C. -1 c?q(Os <br /> E. <br /> AGFN NAMPHONE NO <br /> ADD <br /> At <br /> "DRUS LEAD AGENCY DATE <br /> © 'tY0 W (LOP 1-i le s..l.� __ _ 3J• a-c° ra��LCj <br /> 4 q H( CL- 4'— W'L A7-co LLo P F.lg 0-1-1) <br /> p l$ W Gtn..l ai (.J..,:, --(7., s.$ 04 ti fa enl .dA1 _F#Ty <br /> O Sob • LJI.. eP <br /> IyY Y $ tr:hcel 54_ —5�?PS ( Loy t-!lc a . 3S•30 <br /> f <br /> THIS Nc)�IcE IS SUHTECI' TO TETE REQUIREMENTS IDENT[P[M IN THE PUBLIC HEALTH <br /> NV IRON <br /> NMHNTALEALTH DIVISION (1111b)POLICY 1354.907, ORDINANCE CODE OF SAN <br /> SER�ITOAQUTN COUNTY, END FEES AND SERVICE CHARDS RT390LUTIONS, STATE WATER CODE. <br /> GOVERNT CODE AND THE EVIDENCE CODE. <br /> L A;(3 <br /> uAum or TEN (10) PREML99 ADDREe9E.5 Pm RBQunsr. <br /> 2. PFTLIMRECORDS REVIEW IS BY AMtNTMENT ONLY. AP"KnARNTS A"ARRANOW 8Y <br /> CALLING9)468d34O_ OPPICS HOURS FOR APPOINTMENT) ARE SCHEDULED MONDAY THRU PRIDAY <br /> EXCLUDIHOLIDAY, 8:00 AM To 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A �uBUC REcoRDS RELEASE APPLICATION(PARA) L9 REQumsD. <br /> 4, 4uc PH.$$IRECORDS NDi kWVKNED IN T119 SAME CONDITION A! 1fEC8iY6D WILL 88 CORRECTED <br /> BY THE EH{D STAFF AT THE EXPENSE OF THE APPLICANT. TU13 ADAIPIONAL EBRvrS WILL EB 841.LED TO THE <br /> APPLICANT I�Pok PAYMENT, (SEE END POLICY 44-097) <br /> 5. Opb{NAL PUBLIC PILPS/RECORDS SHALL NOT EE REMOVED Fwom THB RHD PREMISES. <br /> SIGNATUI E OF APPLICANT DATE <br /> SIGNATUI J3 OF RELEASING OFFICIAL DATE <br /> No PH D REcORO3/FILE¢ARE IDENTIFIED: <br /> PHS/END REOORDS/FEES EXIST ON TTIS ADDRESS(ES)NOTED. YOU WILL 89 NOTIFIXD PTIIIN <br /> RCCOR"FIU0 ARS AVAIL/BL$FOR RSVIEVr <br /> TOTAL P.02 <br /> h.Le cQ <br />