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09/03/03 WED 19:50 FAX 925 258 9098 basics environmental-- R10 �-- <br /> - <br /> IqT5 <br /> SEP 0 4 2003 <br /> ENVIRONMENTOEALTH SAN J'OAQUIN COt1NTY <br /> I'ERh,�iT'SER ICES PUBLIC HMTH SERVICES <br /> ENV,LRONMENTAL REALTfi DIVYSZON <br /> PUBLIC RECORDS REJP SF APPLICATION <br /> App ICANT Basics Environmental PEONS NO TBL_ 925-258-9099 f� <br /> ADD ESS 11.6 Toric Ind pgU NO <br /> AG CY NAME <br /> ADD SS <br /> I <br /> FQL,I RE98 >�usxN�SSS NAMEL �OpER.�1 �LE <br /> FACILI <br /> 34243 Chrisman Road Gas Station jjazDhal11 �-- <br /> I J <br /> I <br /> I <br /> I ' <br /> ##+ 'kit#**;##+#it it Ye#*�t�rxlr*#,t**rwwrFk**tfr�##icirYcyY**�It## Y+f#**tiekk'kil7t#�r7Y <br /> THIS NOTICE,IS SUBJECT TO THE REQUIRENLENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERN ICES/ENVIRONMENTAL HEALTH DIVISION {EHDI POLICY #94-007, ORDINANCE COQE OF <br /> SAN POAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODS. <br /> 1. AI MAXIMUM OF J_EN 00) PREMISE ADDRESSES PER RE.NEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY gPP01NTMENY ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM_ <br /> 3. A PUBLIC FILES/RECORDS RELEASE:APPLICATION (PRRA) IS REQUIRED. <br /> 4. P ELIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COR ECTED BY THE-EHD STAFF AT THE.EXPENSF OF THE APPLICANT. THIS ADOITIONAL <br /> SER (CE WILL BE BILLED TO THE APPLICANT FOR PAYMENT'. (SEE EHD POLICY 94-007) <br /> 5. 01GINAL PUBLIC FILES/REC S SHALL NOT BE REMOVED FROM Till: EHD PREMISES. <br /> w.• Iw�e•s r.aa..e�.tw *tt.►fY..........rs.+iltte*.����aa�����w���• <br /> SIGN�4TURE OE=APPLICAN. fr SDATE 9/3/03 <br /> I <br /> SIGNATURE OF RELEASING OFFICI DATE; <br /> EH 00 14 (REFI 9/9961) / <br /> TOTAL P.02 <br />