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Ah Tv <br /> ale R; 1 //- * RECEIVED <br /> 96 -0w <br /> 1;11 UO 14 (REV 5/94) SAN JOAQUIN COUNTY APR 0 81996 <br /> I'U111,1C Ill"sA011 510MCIS NVIRONMENTAL HEALTH <br /> 1SNVI1tONM1;N'1'AL Ill"sAl�l'lI DIVISIO� ERMIT / SERVICES <br /> 1'Ulll,1C It1;Co IU)S RELEASE APPLICA.'1'101� <br /> PHONE <br /> APPLICAN-r16T. <br /> A1)DRI:S5_28Z5 E PJIQN13 NO <br /> AGI3NCY N KLF-iN <br /> ADDRESS <br /> 1LAll AGENCY UA1L <br /> PILL_. ' ADDIUM -- <br /> -�6-P- �b✓QGS o2� o ✓lw 4��-y� <br /> 111 Shn � <br /> I , St2 iu <br /> I� LO nl Shay— <br /> X1-1 <br /> 1IIIS NOTICE IS SUEJI3C'r 1'O '1'1111 It1?QUI1tEMENIS IUEN11rI11D IN THE I'UUUC 11SAIA14 <br /> SEItVICi?S/ENVIRVNMEN-1-AL IIIIALI11 DIVlS1oN (Clip) POLICY M94-001, ORDINANCE CODE 011 SAN <br /> JOAQUIN COUNTY, 1:11p 1=E1:5 AND SURVIC13 CI(AIIUI? IiGSOLU'r10NS, ST'A'TE WATER CODE, <br /> OVVEItNMEN'I' COOL AND TIIE EVIDENCE CODE. <br /> I. A MAXIMUM op'rrN (I0) I'nEMISE AbUREs9E9 PL•R nuQuusr. <br /> 2, I'VULIC PILES/RI,COIt DS REVIEW 11 eY APl'oIN'I-MEN'r ONLY. AI'1'OINrMENTS ARE AltRANOEb uY <br /> CALI,INV (2c FIL SIR OrrlCu IIOI POR APPOINfMRNTS AIR SCIIEOULED MONDAY TIIRU FRIDAY <br /> EXCLUDIN(j IIOLIDAYS, 8:00 AM -1-0 12:00 NOON AND I:UO PM 1'0 4:30 PM. <br /> 3. A PUuLlc ItL+coRI)S RELEASE AI'I'LICNI'ION (PRRA) IS REQUIRED. <br /> A. PUIII-I( PILES/It ECVI1DS Nor R1±1'URNI±U IN '1'11E SAM11 CONDITION Al ltW:IVI±U WILL 1111 CORNI!CI'I!b <br /> ur rnE UID c FI S/T11U uxP1±NSt! or tIIR AI'PIJCANr. 'rIIIS ADUrI'IONAL sERvIcE WILL ITE FILLED 1'0 TIIE <br /> APPLICANT' POR PAYMENT. (SEE EIID POLICY 94-007) <br /> 0. <br /> 5. ()WINAL 11UnLIC PILES/RECORDS SIIALL Nor EE REMOV EU 1=ROAt '1'lIE EIIU I REM1--- <br /> - DATE <br /> SIUNATURE Or AI'I'LICAN'I' <br /> SIUNA'i'Ulll?of REI,EASINU Orl'ICIAL <br /> No I±II$/EIID ItECORUS/PICAS ARR IDEN1'11=1ED7 lbnnee� Dem <br /> Dem, 11n.,wxnn m <br /> 11115/0ID fIrcoltbS/FILES EXIST ON 'r11R ADIAt"S(i!S) NUTED. <br /> YOU rY1LL RE N01'IFIRU rVIIEN <br /> Itrt:OltDs/rI1.r8 ARr AVAILA11Ll' rUR RrVlrw: 1An rn•n .�ne n <br /> ❑ern! K"m I.m <br />