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_09/05/Oa lI'ED 19:50 FAX 925 258 9098 basics environmental [Rio <br /> qT5 <br /> SEP n 4 2003 <br /> 1;NvIRUiNMENT f�EALTH' SAN JOAQUIN COUNTY <br /> 0FRM1'T SERA ICES PUBLIC HEALTH SERVICES qAlk 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE .APPLICATION <br /> APFICANT Basics Environmental PHONE NO TEL- 925-258-9099 (� V- <br /> jjON <br /> ADD ESS 116 Glorie ind p561 NO <br /> AGE CY NAME <br /> ADD ESS <br /> Ix***�**,tie#•t*t*Kxtxt***xxxxx#xxttt:wx*irle**+#f****t***ttt*,tvrx#',r#-t,t* <br /> FULLI RESS BUSINESS NAME[ �E OE' TFZF LE <br /> \ �'ACIL):'L'Y <br /> V 34243 Chrisman Road Gas Station <br /> I - <br /> I — <br /> ##+ c'kx*#ii't-tir#ticxtt*-kkl--et�r,t,t*,trwwxx* tt* r##*ir:t######*tt*#**ic:trt•k�'k*#x <br /> THIS NOTICE,IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER ICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE COQE OF <br /> SAN OAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT RCODE AND THE EVIDENCE CODt, <br /> 1. Ai MAXIMUM OF E*N (1.0) PREMISE ADDRESSES PER REOUEST <br /> 2. P SLIC FILES/RECORDS REVIEW 15 BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED B CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THR FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM_ <br /> 3. Al PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. P�SLIC F(LES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COR 6CTED BY THE <br /> STAFF AT THE.EXPFNSF OF THE APPLICANT. THIS ADDITIONAL <br /> SERUIIICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHE) POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/REC(y} S SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> w...Ir...s..a...r.+.wr.rrrT�...........*.*41..........�....w�..• <br /> SIGN TURE OF APPLICANe f: S DATE 9/3/03 <br /> SIGN�TURE OF RELEASING OFFICIA DATE <br /> EH-00 14 IRE./ 9/96) <br /> Le 1H' Lim <br /> TOTAL P.02 <br />