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y, "fi ].:t-09-1993 15105211547 N. <br /> 03' 14f'J1 FROM lU �� <br /> ' SAN JOAQUIN COUNTY " { <br /> 1"11C HEALTH SERVICES <br /> ENWRONM NTAL HEALTH DMSTON <br /> PUBLIC RECORDS RELEASE AM ICATION <br /> API?I�CANT 7CC /- C� _ PHONE NO YO � � <br /> ADDRESS S� <br /> AGMCY NAME PHUNB NO k <br /> ADDRESS ' <br /> FII S AUDRH5 QXX i <br /> x.: <br /> 4f Lt <br /> G' <br /> 2- D <br /> _ 7bUAN11 ql 't JNTY <br /> 3) ;V f' �' ���� ENVIRON DIVISmra <j <br /> �f (( �,, _ <br /> TE <br /> jht a t 1 !'' THI3 NOUCE IS SUWWr TO T lE REQUIREMENTS IDI3tM IP13 04 THB killIX..IC HEALTH <br /> SERVICE, VIRoNMHNTAL flBnLz N E71vtsloN(I3IiD)POLICY N92 t>v�,ORDIhiANCE CODH OP SAN <br /> JOAQUIN COUNTY, WM FEES AND SERVICE CHARGE ABSOLUTIONS, STATE WATER COD& <br /> T OVERNMBNT'CODE AND THE$VIDE C1; DE. <br /> J 34,4' —33-?43� LJ d+ u,� <br /> 1. A M MU OF TEN (10)Pltt;tul E RBSS P&R RBQ BSI". ! <br /> 2. PUBL3C PitAL/I+tECORDS REVIEW AM BY APPUINDAM ONLY. APPOINTMI3N'IB ARE <br /> ARRANGI3D BY CALLING (209)468-0340. OFFICE 1101-MS FOR APPOINTMHN" An SCHEDULED <br /> MONDAY TITRU FRIDAY EXCLUDING IIOL)DAYS,9:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBI3C RECORDS RELFASL!APPLICATION AND A N41`LRBFUN1ANg 13EP=r OF$79.00 <br /> IS REQUIRED. DEPOSM WILL I3Ei RETURNED TO TTIB APPLICANT IF TH9 Ftt9 RgCOkDS ARII <br /> NOT AVAILABLE W33HIN TH13 CUSTODY OF 11113$11). <br /> t <br /> ' F <br /> 4. THE AROVB IDENTIFIED DF-rOSIT IS APPLRb TOWARDS 1119 'TOTAL PILE REVIEW FEB <br /> MARGE. THI313ALANCB OF THE CIIARQES ARE DUE AND PAYABLE M TO RM HWANO THE <br /> DOCUMENT(S). <br /> r <br /> s. Minx RuawRECVRbS N(rr gMYRNEI)IN TNR SAMI3 CONDITION AS REICBIVED WILL AB <br /> <Y3 MCMD BY THB IMI) STAFF AT THE EXPENSE OF ME APPLICANT. nUS &DIDMONAL <br /> SERVICH WILL BE 1311 EV TO TlIF APFUCANT'FOR PAYMENT'. <br /> �� d. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED ICOM THB EHD#ABWSBS. <br /> SIONATURB OP APPLICANT/� �/ v DAIS <br /> SIGNATURE OF RELEASING O1TI(:IAI, DATE <br /> FH 00 14 (REV 12!92) r a <br /> TOTAL P.02 <br /> I ff)V 9 '93 15:15 PAGE.002 <br /> >a <br />