Laserfiche WebLink
Fl?t-T7=Dr1NI FAX TD=12094640138 25, PA7 2:22PN #522 P.01 <br /> . ,._... . .,. ..,... 9 11 J.T flWngno� r r j <br /> ro(Vv>1 bl elvAllt V T.r\ From nft,ox AVA(1.14;•1 <br /> C:O IIMyx i0_.lre'I-•� Cn. _ l � . ..J <br /> FOIMq°Z�'S- r-fLfBW-°�'1•� ruM�x�O •!'3�'7.S yj <br /> rnx x 20{;: cf b -� o t 38 F;k r 5-lO• y-[�•9,�t6 <br /> SAN JOAU(17:N COUDrry <br /> PUBL7C HBALTII SERV.r IBES <br /> iENVIAONIdENTAL HF:AT,TR DIVTSION <br /> D ES <br /> PVHLIC RECORRELEASAPPLICATION <br /> ndPi.x'tnnrr h- 10. 1 c4AIG14V1 PNvraE NO <br /> DIAMIR pHONP. NO <br /> GC„L1 <br /> t}Ya*v F1wi+IiYi*ltttt�tQkhf# s • R# # kR+;# ; k # k+f+lff* ki-R#*+w;k kti.R►+ F <br /> iFULL ADnResS QR <br /> 1 Z t Tbot'51 ck, 0-494- i�,,1.t6 mT• - <br /> O ct tI � h <br /> - '�. YShi I•�e. o .. 24-ZKoB 3�a:, �,___-- ---_-- <br /> t� EISE r 3.S <br /> r-.4 `z1 __ <br /> —' YI? ki-iSYtkk+tk#+*a;ka ;4�i ka i#a a;;R 4akkkk+#f # kat*t �i ;#-*ki; k}tix#{1Y <br /> 01411$•NU IICF 1-3SUBJCCT TO THE REOUIRFML-NTS IOIfNTIF1F.0 IN TIIE PUBLIC HEALTH - <br /> SEFiV)IC4S/F.DIVIRONMENTAL H9.AI.TH bivisiUN I['HDI POLICY 894-007. ORDIHANcr COBE OF <br /> SAN OO.AOUIN COUNTY. END TSE AND SERVI(I: CI'IARGE RFSOLUTIONS; STATE WATER CODE, <br /> fjdVE`RIIIMENT COBE AND TiIE(EVIDENCE CODE. <br /> I <br /> 1. A'MMCIVIUM DF IEC(L9 PhEMI^,E ADORE55ES r'ER REQUEST <br /> I <br /> 2, PU4IC FILE5IRF(-OROS REVIEW IS BY APP12INTlAENT QN1 AFPOINTMeNTS ARE PROCESS• <br /> FD a ALI_ING 12091416$3-341M OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THR Fh1DAY EXCLUDING HOLIDAYS. 0:00 AM TO 12:00 NOON ARID 1:00 TO 4:30 PM. <br /> 3. A PURI IC FILESInECORDS RW.ASE APPLICATION 1PRRAI IS REQUIRED. <br /> 4. PVRLIC Fll- :IWPECORDS NOT RF.TURNEn IN TI IE SAMF CONDITION AS RECFIVFO Wil.1. BE <br /> C011417TFD BY THE EI-10 STAFF AT THE EXPENSE OF TIIE API•I WANT. THIS ADDITIONAL <br /> SEPVICF WILL RE GILLED TO THE APPLICANT FOR PAYMENT. (SEE EIJO POLICY 94- 0071 <br /> 5. 'O 116INAL PUBLIC riLES/REdoRUS SHALL NOT 13E REMOVED FROM THE EHD PREMISES. <br /> i I y <br /> ♦. ♦♦I. '..•♦....•♦..♦•♦♦k • ♦ ♦ ♦ �^^♦.. •♦♦♦..♦ .•♦•.•♦ ...... ... . . . . <br /> SIG” TURF OF APPLICANT �fj}�(�♦���".'.' `—DATE 6�5%9� <br /> SIGN'Al U IF OF RELEASING OFFICIAL <br /> EH 0 14 (REV 3196) . <br /> f <br />