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04/11;1997 13: 10 3039800069 PII•IYCN ENVIRNMIENTAL PAGE 02 <br /> �] wam omaflp <br /> I�KJ, pn—JuM�ta - <br /> TO 1� �9 <br /> 139 F.82 <br /> OF Porm"DMAONMENTAI ENGINEERING <br /> RE80l/RCE$INC. <br /> 1075 5,Yulmn SVMt .L , (/„ •�c¢uJ <br /> Pm)Oe0.62L0 SUVA 320 <br /> 1317 aoee(fes lmkrwo d, CO aMn <br /> SAN JOAQUIN COUNTY �-2 -U 76- <br /> ( PTd13LIC HEALTH SERVICES <br /> PUBLIC RE RRDDS RELEASE APPLICATION <br /> APPLICANT PHONE NO <br /> i ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDIZSS <br /> ' rs+�#r#xrt#ta+♦+##rar#ar##twrsr#t#trattta#a*xssars+arttxYr#i###wa <br /> E3ILL. AI7D SS A 4T 4 *a:<•+�i <br /> PRrJGRnlu no <br /> II TYPEOF EyI�p <br /> fir' O A l(a 11�2 Tp <br /> 7 to 4It ,L,._ �_ qC -r ] _ .Rp � �/T' ! ) >✓'J.2`( r^'" > <br /> at: R, <br /> �C1iC T1lnr r I♦ ) ., 9'•`dt b _ Tri._ ! t�r n ll 90 aY5° C5 <br /> z a i,o <br /> Yi tfrt#ra+##+###wr+♦ai..+r•+rr####i•##♦r##waatart##ratty+aaiti#+*t <br /> THIS NOTICE 15 SUB!ECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> 3ER4I:CES/ENVIRONMENTAL HEALTH DIVISION (91-10) POLICY #94.007, ORDINANCE CODE OI: <br /> SAN JOAQUIN COUNTY. E14D FEE AND SERVICE CHARGE AESOLUTiONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1, A MAXIMUM OF 11 L10 PREMISE ADDRESSES PER REQUEST <br /> 2. PVBLJC FILES/RECORDS REVIEW IS BY APPOR"MENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 9:170 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPUCATION (PRRA) IS REQUIRED, <br /> 4. PUSUC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE FRO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE END POLICY 94. 0071 <br /> 5. ORIGINAL PUBLIC FfLESrRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ............ .......................I....................................... <br /> SIGNATURE OF APPLICANT1Gf'r, iT ,+5-, , a-�� � DATE kZZZti J ? <br /> SIGNATURE OF RELEASING OPriCIAL DATE <br /> E EH 00 14 (REI! 91961 <br />