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9A�19�94 +8:.7 E 415 838 2587 ENVIRONEEP.ING P.81 <br /> Ell 00 I4 (RICY 5194) ~ SAN JOAQUIN COUNTY <br /> PUBLIC IIICALITI SERVICES <br /> ENVIRONMENTAL IIK&L'I1l DIVISION <br /> M131IC RECORDS XWE EASF, APPLICATION <br /> APPLICANT jjaNNIFI--k priUlk Y/�pnl PIiONB N(ijsr�� f�[7 3z2_� <br /> ADDRB5S7 LIQ C2D .�(Pcn?�Lt)n2R.o,�= <br /> �P<rVht� <br /> AGENCY NAME_Pg j C—oai+n r)6YM i2_ys.)? , 1 L)r. PHONE N(7.OF P,zU 3 z.z. { <br /> ADDRESS togl Cl?n ,1 C'fn14t AAl/Ln. (LRY�UN <br /> PILE ADD RBS$ LBAD AGBNCY DAM <br /> W&57 ,, 7 icTUnJ _ ` <br /> �,'�1S-FeL rdlAJAG 6121 VC�,S � k>LA/ <br /> ki <br /> 7AUU 3- <br /> t .. <br /> 7 - S77 11JP.57! L1�vt y_C7F7L <br /> 2 f?7J/ (A/r-S'Y7 .bni� GT/Xx T� <br /> &�t1Stln�..IFKtysruc.jr7t?^! -- <br /> Ll C;7- /. tLSON u/R^�+J, 3X k ^�. ENVIRCNM G"L ESLT <br /> L <br /> THIS NTLCE 13 SUWP-CT TO THE REQUIREMENTS IDEN' - ! <br /> SC•3tVICHS/6NVIRONM6NI'AJ-HEALTH DIVISION (EHD)POLICY I G� �7 <br /> JOAQUIN COUNTY, Emu F1FS AND SURVICE CHARGE R13SI / � <br /> GOVERNMENT CODE AND TNM EVIDENCE CODE• c s� <br /> L A MAYMIUM OF TEN (.II)PREWS9 ADDRESSES PER MQUEST. <br /> 2. Pueuc 19Ll!slRIiCORDs REV1Ew Is BY t%pPOIN'1M&N'r Oh <br /> CALLING (209)468-0340. OF;lCr, IIOVRS POR APPOIMM MS ARI ,L // <br /> ExCLUDING HOLIDAYS, I:M AM To 12:00 N0014 AND 1:00 PM To+ /GGl//J/�`vv/"C/�r <br /> 3 A PUBLIC RECORDS RELsAAsE APPLICATIUN (PRRA) IS REQUUU <br /> 4. 1'vsuc rILFSMECORDS NOT RETURNED IN TILE dAME COND <br /> BY THE END STAPP AT THS SXP4= OP THE APPLICANT. THIS ADDTI <br /> APPLICANT 1•Wt PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC IgL.r�RECORDS SNA//Ll.NUI BB 1SBMOYev PRDM TAB EHP PRHMISES. <br /> SIGNATURE OF APPLlCAN --, �� L`+ . DATE y <br /> SIGNATURE OF RELEASING UFMUXL DATE-. _ <br /> No PHSMHD REcv ms/l'ILM ARE 1DEM'IP16V: <br /> i <br /> P14slEHD RECORDS/FILES ESOT OH THE ADDREc'S•(La)NU1kD, Y6u RILL 119 Nonnlla rv"Bx+ I <br /> RECORUbI RLPS Avis AvAILAFiz TOR Renew: .i <br /> orn: sem... Merr,an,oe,4nn. � <br /> TOTAL f•02 <br />