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TO. 3462291 P.M <br /> 2..'1 B'^1985 Q7 t 04AM FROM <br /> Ell 04 14 {AMY 51941 SAN ZOAQUTiN C413N'1"k' <br /> ptim,IC ITHAL'T7,1L SERviCl;S <br /> tONi RN'1!i : I F '�ti DIVISION <br /> P[]nLIC RRCORDS XMI.,ABE "PJ-KATION <br /> I far\ _�___�Hort� No aq�3y1� r ��ao <br /> JCANT <br /> AMMS i <br /> PRONE NO <br /> AGENCY NAMR. . <br /> ADDRESS <br /> f _ �H <br /> !LF AD1255 j L <br /> I C� ! <br /> Qo � r -- <br /> a L3 I-r A)f a r pin d_ _ <br /> C> ,3Z0 A) I D0r.,wd�► s <br /> a <br /> Z yy• w <br /> t rfrq crI:1 <br /> f 6 � W�►�l�n� <br /> THIS NOTlCG IS 5UWF-CT TD irRil RlrQUIRSMFNTS IDENTII:'II±L) 1N Tu r: PUBLIC -HEALTR <br /> SEKvICESI9NVIR0NMUNTAA.11EALT'H DIVISION(Ellt))PoUCY 094-007,0WHANCE CODE Or SAN <br /> JOAQUIN CQUHTY.i END FEES AND SERVICB-CHARGE RESOUMONS, S'L'ATE WXrBR CODE. <br /> GOVERNM617`CODC.AND TILE EVIDENCE CODE. ' <br /> fr r <br /> f. A M�Citut�l b�TCts;I'Q)rR�slsti abDr;�t�v>"Jt AI:QUEST. <br /> 2. PUBLIC ML61RLrcomm REVIEW is nr AOowmawr O'N'LY. AFP0*MfF-WfS AIM ARRANQnb BY <br /> CAL,UNG (2p9)4634340. Orrica il0vita r•Ott APP0lWMilW8 ARS Saii:DULSD MONDAY. TwUl FRIDAY <br /> 8XCLULANd 14OL1 AYS, 3-z0Q AA(t'o 12;00 NOOK AND L•04 PM TO k30 rm. <br /> 3. A PUnLIC Rt6oRb9 R$t nAaff Ari-LiCasDM(I'RRA) is RuQuIRAD. <br /> 4. Maud i�ILFSlltECORM NOT itt;s•uitt�iro tri •tuff aANW Co"bktlVN A$ RGCrlVED W"nit COR"CrfiD <br /> BT TIiZ t-"d STAFF AT i lig VXPENsa OK TilR APPLICAW. THIS ADDITIONAL 8MV;C9 WILL Hlf ItLUE0 TOVIS <br /> APPUCANrT rv►t PATMENt'. Mt EUD i'ouCY 94-007) <br /> 5. CfRlai�rtAL PUsuC ML.F,S R CORDS 41IALL Nvr lag kwovev ritom'Tlls EHD pRemisss, <br /> SIGNATURE or AI'PUCANT DATE _�r� - 'ots <br /> SIGNATURE MJF RHU?AS1N43 OI'MaAL _bATR <br /> No VHsMs4D IZRCostimir-I V-S ARE lbFAtsi:iW: <br /> r�,r w�n.vno ttr �Am.+r�„oh do - <br /> FHSJF LU RtCORDaIF&w Extsr ori THE AIDDRssiew Notrb, You WILL an NOTMED wilEH <br /> RSCnRvsfFxtj?.q ARJ¢AVAILANUE FOR Rew sm. <br /> p Ckty Ptw-m w h, gnet;xrwm fmT* <br /> /�E Or <br />