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IstTI dy: �',J J.7 r Y UYI Itl r .L7 .0U. y _. <br /> ... ... _.�_ I Post-fr Fax Note w 7672 nHr9,j sof <br /> Vw <br /> 99-122 <br /> - z <br /> SAN jOAQUIV <br /> 1?[J13LYC ffEALTEE 3SRVTC$S /I1�_ • � <br /> RNVIROMUMAL R ALTIT DIVISIOP7 <br /> -•-POLIC PXCORM9 ttPJ ZA.SE APPLICATj:ON <br /> APPLICAN'i' (Y '3E,i� PHONE No C-7A �Vf u f a)D + <br /> ADDRZSS <br /> ACMNCY• 1A PHONE NQ <br /> ADDRESS <br /> *f3f,(e�rtl'*�tkt,lt+Itt#*#f'lrf#.}f*7t'*7!t !•Mir!#�.k}***ir#7k#'•.!'*•kt#####•,Ir_k-k*':k/r#5Yf*itt <br /> j <br /> Fs BMMjU NAML PRQGRAM OR j <br /> EAQ TYPE OF, FILE ' <br /> - ✓ � anpT - <br /> #,k#fyr�rx•kr�ix*iyr*r,r,rt,r•r�Msi�r��.�,r � t*#*x**fyr,�r,r,r,tfx•,ex**tart:x��trxir'r+.wX ' <br /> THIS NOTICE I&SUB,JE CT TO'THE REQUIREMENTS IDENTIFtED.INTHE PUBUC HEALTH <br /> SERVJCESIENVIRUN mEN'TA!_HEALTH DJVtSF N (EHD) POLICY /94-007, ORDINANCE CODE OF <br /> SAN .1OAQU1N'CQUNTYE•FD FEE ANt7 SER �CE CHARGE RESOLLMONS, STATE WATER CODS. <br /> GOVERNMENT CODE AHD 3HE P-V0MCE Ci jt)E. <br /> f <br /> I. A MA?UNIVF4l0F T PREIiA1E AOO SES P RF-GUEST <br /> 2. PflBN�C FiLarS/RECC3itDS R'Fi1JFEW IS 8Y M L APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING L709)4S$-34M OFFICE NQ S FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> T#iRU R;IDAY E7CCLUDiNG HOLIDAYS. 8:t30 M TO 12;00 NOON AND t:Od TO'k-30 PM. <br /> 3_ A PUBLIC F&.ES1REC0FI0S RELEASE-APP CATION (PRRAJ IS REWA RED. <br /> 4. PUBLIC FlIX-IMECORDS MT RETURNED I N THE SAME CONDITION AS REC9VED WILL 81: <br /> CORRECTED BY THE ENO STAFF AT THE EQ @USF OF THE APPL[CANT. THIS ADDITIONAL <br /> SERVICE VAtl.IM.B UFM TO THE APPLICAN1 FOR PAYMENT. 1SEE E7-1D POU.ICY 94.007) <br /> S. ORIGINAL PUSU..0 F&ESMIXORDS SHALL NOT BE REMOVED FROM THE EHo PRISMISM. <br /> . ��i+arar+�!l��ws:lia�.lar •+frt ��wwlww*tea;l�;a'r+'w;'t;w•e:aMrrM •s�arw�♦; <br /> SIGNATURE OF APPLICANT GATE <br /> SIGNATURE OF AEIZA.S NG OFJ7CIAL DATE . <br /> fi" 00 74 If av 91981 <br /> NAY 1 G9� <br />