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k <br /> SAN JQAQEIIN COUNTY <br /> PUALIC Hgxf TH SBRVTCBS �! <br /> ENVIRONMENTAL HFALTIH DIVISION <br /> pUBr j:C RgCoRDS IZELICASB APPI.ICRTXON$ <br /> APPLICANT-1-6A )l Y vi DRESS!�ij0G ecu w- ,�C.a,r� ' f- At <br /> i <br /> -PHONE NO <br /> AGENCY NAMS <br /> or <br /> 7aDDRE95 � �.�•••.._�_� <br /> �i <br /> Ip <br /> 'M:Ir'ik'ki•k!**•k�f14�r•k1t**'A' M7k4�yY7k*'A14.1•'t'k'14+k��'�'*****1ff�"Ir*!*# k�'*•r*4f*�f**1k�ft[*#*k <br /> • 'f <br /> FULL NFSa NA : TYPE OF E � <br /> r�nr <br /> s�rr1 " <br /> C. k — F !,e vt hS. .cf,�;,fis <br /> 25 u YI�Yc rr� ` <br /> II � <br /> 3N, Ma.nSL <br /> f t C_'I� Sa b 1 DZY-4,16:rti c� � <br /> i <br /> S� EE+ usc'rn;4-e." N1oiY�tc'eG- *tom* <br /> tom * *tom*ttir . AL <br /> .�•**,r ,�** ,rk ... <br />'E THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICEFSIENVIRONMENTAI.HEALTH DIVISION (ESDI POLICY 0 4=DD7, ORDiNA►NCE COPE OF <br /> SAN JOAQUIN COUNTY. EHD FE=E AND SgRVICE C14ARGE RES OLLTIONS STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE COBE, <br /> 1. A MAXIMUM OF M J2 DEMISE ADDRE=SSES PER REQUESTS <br /> 2. PUBLIC FILESlRECDRaS REVIEW IS BY APpOIfyT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (z09?468-11420. OFFICE HOURS FOR APPOINTMENTS AAE SCHIiDUL>eD MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 Anil TO 12:00 NOON AND 1:00 70 4:30 PM- <br /> 3. A PUBLIC FIL.ESIRECORDS R1' EASE APPLICATION WHRA) IS REaUlt=u- <br /> 4. PUBLIC F{LESIRECORI]S <br /> N07 RETIJRNEta IN THE BAP14i~CONDITION A5 RECEIVED WILL SE <br /> CORRECT;=D BY THE EHD STAFF AT THE EXPIENSF OF THIS APFUCANT.�THIS ADDCYIDNAL <br /> SERVICE WILL 8E MILLED TO THE APPLICANT FOR PAYMENT. ISE! FH0 PVLICY 94. 0071 <br /> S. ORIGINAL PUBLIC FILESIREECORDS SHALL NOT BE REMOVE[) F}QM THEE EHO PREMISES. <br /> r aaM�fTkah*aa�}"ss• •fa re ♦♦rf+;r+ <br /> •it�awr Nwfr�f atF'w rites.raa { sta ++ • ii ' I . <br /> 17aTE 7 <br /> 51CsPIATURE OF APPLIC T <br /> SIGNATURE OF RELEASING O CIA[._ _ GATS <br /> EH'00 14 (REV 9198) <br /> �{ S <br />