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Ell UU 1.4 (1tL+'V 5/94, SAN JOAQU1N COUN'T'Y <br /> PUBLIC HEALTH SERVICIF„S <br /> I1.NVIRONlV ENTAL HEA1,111 DIVISION <br /> PUBLIC RECOILUS RELEASE APPLICATION <br /> APPLICAN'I' 1 PHONE NO <br /> A1)17It1:SS 1 <br /> AG12NCY NAME PHONE NO <br /> ADDRESS <br /> 1JLE ADDRESS LEAD AGENCY DATE <br /> r-- <br /> 99 4 <br /> THIS NOTICE IS SUITJE-CI' TO '1'111: ItEQU1REMENTS IDINTIFII-"D IN TILE PUULEC IIEAUIII <br /> SIiEtVICES/ENV1EtONMEN'1'ALIIEAUIlE DIVISION (13-11D) POLICY N94-W7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, EIID FEES AND SERVICE CHARGE RLSOLU'170NS, S71'A'1'E WATER CODE, <br /> GOVERNMENT CODE AND'1711E EVIDENCE CODE. <br /> I. A MAXIMUM Of•i-.N (10) maiisG ADURosms PER REQUES•r. <br /> 2. PUBLIC FILES/R17CORDS REVIEW Is BY A1,110IN'TMEN'1'ONLY. API'OiKrmEN'1'S ARE ARRANGED BY <br /> CALLING (209)4611-0:140. or-Txm HOURS FOR APPOINTMENTS ARE Scim-DULEu MONDAY TllRu FRIDAY <br /> EXCLUDING IIULIDAYS, 8:0(),u.17.O 120) NOON AND I:W PM -rO 4:30 PM. <br /> 3. A PUBLIC R]-:coRUS ltisump APPLICNI•ION (PIMA) is REQUIRED. <br /> 4. PIIBLIC FILES/RIiCOItDS NO-r Riil'URNIs IE SAME CONUrrlQN AS RECEIVED WILL BG CURRECT.D <br /> BY •1.11. 1.111) STAFF AT TIIE nxret46 OC 1118'1' 'ANT. 1'111S ADDrI•IONAL SERVICE WiLl. BE BILLED TO THE <br /> APPLICANT CUR I'AYAI.N•r. (Sr-F- BID POLI Y y -OU7) <br /> _5. ORIGINAL PUBLIC FI - ' E R1SS 311 ��r�lna REMOVED ('ROM 'riiB GID PRLMIsr.s. <br /> SIGNATURE OF APPL1CA ' - �a L r UA'1'L' <br /> l� <br /> SIGNATURE O1� R ILFASING OFFICIAL DATE <br /> No PIIS/IIID RECORDS/1--ti-r-.3 An iDENTICiED: <br /> l��rn• Rww�ST. H(MFICAIRW 1)ATns <br /> PIAS/El ID R.CQRDS/PILES LUTi ON THE ADDRESSES) NOTED. YOU WILL DE NOTIFIEv wIIEN <br /> RrCoRw,;/FtI,FS ARF AVAILABL% FOR RFVIF,W: <br /> hernv RwTme ITP K"711CAmm <br />