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-r <br /> F7� <br /> SAN JOAQUIN COUNTY <br /> PUBLIC IlEALT11 SERVICES <br /> EPIVIRONMENTAL PEALTR DIVISION <br /> PUBLIC RECORDS P.ELEASE APPLICATION <br /> 7 � � I� Y PHONE NO <br /> - AFPLLCItI'I'C ti'( f.i�Q U/1 CPQ � --- <br /> INOI)R .:�S�/pfo [oma—lJ�itiSD__ 17 r � ---'�W' PION <br /> AC RrICY . MIME !r7"c fLS �.,AIC6 ! l`- ----... <br /> ADDRESS <br /> { yiYi Yit wt RY*}i 11i Y'Y#iii Yi;iyi Y###t#41t Y#tyttii1 i14YYYi##i#ti###� <br /> BD,TN •^ NAVEL PROGRAM MZ <br /> FULL AUUR_-•S2. FA "ILITY TYPE OF FILE . <br /> rti'N� NAVt{ lr;rc,,zc,k6cd <br /> or7 t✓kA ( I;�zY/'IIa. �•ru• e C7'a���y6lfry' <br /> 4. !r•lM_�✓�l•'C�.C�_SS.a� 2¢. r u.� <br /> r.�f 1�1� neP.s�yK �s�/1�S_J' _ <br /> -L Iva ,y�4�lw �f4-tea-- J� �;.;� - r — <br /> /. L >aCkhwl_` t. f cxtf_LtJNy Md( L( . <br /> ��.� � uC7ll &9nCYg�'� <br /> jSy`�• LAS I` <br /> �'l .5� + a ✓. Ia1 )ti' Yax YS_RG�nI Tr1�_ , -- <br /> (sr��j• a� 1�--�—e p 0��a,r�,• . ,h r'@fco�Jlin9a9�;.NPL— _ - <br /> 1.8LI u,i <br /> Yitit YM ii Yi YYi#t#*Ri itYYYi 41 LiAk4i iiiiii*w4#}iii#*ii Y##**#*##it## <br /> TI-IIS P10 'ICF IS SU[3.1FCT TO THE REOIJIREMENTS IDENTIFIED IN THE PUBIC HEALTH <br /> SERVICF51EtJVIRONh1ENTAL IIEALTH DIVISION IEHDI POLICY N94-007, ORDINANCE CODE' OF <br /> SAN 1nAOMlN COLINTY, F}ID FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMFNT CODE AND THE EVIDENCE CODE- <br /> 1 . <br /> ODE.1 . A MIAXIPAIJM OF TEN j1(j) PREhIISF AODRFSSES PER REUUESI <br /> 7, PCIRIC F11-FS)RECORIIS RtVIF_W IS RY APPOIN7_MENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED RY Cnl ! ING 17.09HIF+I} 3-120. OFFICF HOL)RS POR APFORJTMFNTS ARE SCHEDULED MONDAY <br /> THRID FRIDAY FXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PVRt IC' HLESMFCORU S RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> n. PURI-IC FILES;RFCnItDS NOT RFlIIIINED IRI 1111. $AMl CONDITION AS RECEIVED WILL B6 <br /> TFrr nBILLED fff-) OI APS 1 O <br /> ICANF R PAYMENTPtSF E F_HD POLICY 94IT007) <br /> SF.RVICFTW11-i- L <br /> g. ORIGINAL PURI-IC FILES!RECOSrlr: SHALL NOT RF RC-MOVFD FROM -TUE C}ID PREMISES. <br /> ... .. <br /> .... . . ....... .. . ... . DATE > <br /> SIGMAtl1HE. . ... . . .. . . . .. .. .. .... ..... . ..... . . ....... .. . ... .... <br /> ' <br /> OF APPLICANT <br /> Il RFI FA SING OFFICIAL DATE <br /> SIGI`IATJRE F - -' <br /> I-H 00 14 IREV 9;961 <br />