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SAN JOAQUIN COUNT f � <br /> PUBLIC HEALTHSERVICF; _ • "` <br /> M VIRONIV ENTAL HEALTH DIVISION /tea <br /> -PUBLIC UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> ADDRHSS] 9/ a C Lv7G lhA ,� PHONENO <br /> 'Go <br /> AGENCY NqN iU 95 <br /> PH <br /> NO <br /> ADDRESS <br /> f <br /> EXILE ADlotUh��S AGF jl <br /> �,,�� � _ 1242 <br /> a <br /> 6 ► G 7v D Cf K c -- c o2� i <br /> O op <br /> (9 , 950 <br /> THIS Nt)'1IC IS SVI3JECT TO THE It iQuiRmiENTS IDE3N71FIBD IN Tim PUBLIC HEAL # <br /> SM- V1CI3SM,U <br /> VIRONMENTALHEALIR DIVISION(END)POLICY#92-007,ORDINANCE CODE:°OEC S N <br /> JOAQUIN N?'Y, .END FEES AND SERVICE; CH"GE R>~SOLUTIO <br /> ,SOLUTIONS,, S'IATII WATm COI)h <br /> GOVERNMENT COD.B AND T1413 EVIDENCE CODE.- <br /> A. A M IYIMUM OF TEN (10) PR13MISE ADDRESSES PPR REQUEST. <br /> i <br /> • 2. PUBLIC FILI VRECORDS REVIEW :ARB UY <br /> Af'PUINTMI3N'I'S <br /> -A1rRANOED Y CAI11N0 (209)4611-0340. OFFICE HOURS FOR APPQINT1vtI;NTS AItE SCHBllUI.BU <br /> MONDAY TH U FRIDAY EXCLMING HOLIDAYS0 NOON ANb <br /> P.M. , 8:00 A.M. TO 12:4I:pU I?.M.:'Fv 4:30 <br /> T. A PUE ILJC.RECORDS R131BASI;APPI ICA'nON <br /> -NCCLA_VAMA1L9 &;A w KIN ED TO 1 , <br /> 9Rfl9 _ , <br /> - . a. <br /> •C#I•A �8";BAbWs x�-Ir���-I� <br /> R It�sPAYABLE; . <br /> S. PUB PR ESIRECOfWS NoT Rl3'I kN131)IN Tim sAMIs COND1110N As RI;CEIV E3D WILL BE <br /> CORRE'CT'ED Y T148 WD STAPP AT 7119 I3XPBNS>z OF TH13 APP�ICAN'I', 'THIS ADL7I710NA� <br /> S1-RVICP WIL 813 BILUD TO THE APPI.ICANTPOR PAYMEW. <br /> 6. ORIGINAL PUBLIC FII,M/RECORL)s SHALL NOT BE REMOVED FROM THE EHD.PRFM' JS'R� <br /> SIGNATURE OF APPLICANT � DA <br /> Zil1 2Z <br /> I' <br /> SICNA'I' RE Of RELFASING OFFICIA1. 1 <br /> 1 !1 U I (R F V 12/92) DATE <br /> TOTAL P.02 <br />