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To 5274816 <br /> LII OO lA tl(trV 5194) SAN JOAQUIN COUNTY <br /> 1,10DUC 1I AL'1'll SERV1CIS C� / <br /> r gNU,)NMEN-rAL imALT11 DIVISION <br /> yq>SLIC FECOKDS 1LLLEME AP1'L1CATION <br /> APPLICANT' tG t12 Olaf t Lt PkiONE NO <br /> ADDRMS FHON11 NO 205 S-k 7—1-7 �7 <br /> AGUNCY NAME gGX 57flxccl nLOd°stal Cf� RS 3�� <br /> ADDRESS <br /> FILA AUDI$. <br /> I SAI7 AC3fiY AT <br /> Io7 1 s ah circ �/YLK�' �' n 3S• <br /> /n9 6 till 609 <br /> O �• <br /> 7 � Gr�nr/I CarRf� r ^ <br /> TFJ15 NOTICE IS SUHIECT TO THE RJI <br /> EQUIREMENTS IDEM IMED 1N THu PUBLIC 11RALT <br /> SER VICESIENVIRONMENTAL 119ALTH DIVISION(El"POLICY pgA-0OT,ORDINANCE CODfi OF SAN <br /> JOAQIIIN COUNTY, L•1iD PEES AND SERVICE CRAROE RTISOLUTIONS, STATE WATER CODE. <br /> oQvERNMEMT cODG AND TH6 IiVIDENCE CODt, <br /> 1. A MAXIMUM OF TeN(10)pREMISs ADDRESSES PER REQURST. <br /> ArPoI�- P1IRLIC FILESIRIICORDS REVJEW 1e Ry AI'POW'PM N'<ONLSC EDULE 3M MONDAY <br /> ARs AARU FRD by <br /> CALUNO (109)469-0340- Orr" IIOuRb PAR ApMINTwff2HTS ARC SC1IFDVLED MONDAY T1UIU FRIDAY <br /> CXCLUDING HOLIDAYS,8:00 Ab TO 12:00 NOON AND I:UQ pm-m 4:39 N"• <br /> 3. A PUBLIC RECORD&RELEAsE APPLICATION(PRRA)IS REQUlllPD. <br /> 4. llul;Lsc <br /> RY THE CHID 4FAFF t THEQEAPIWSE OF THIS APPLICANT. TIIIS AbI)ffMAL SSMlzLrVC'Cgn WILL IBa til�U 1U TIE <br /> APPLICANT FOR PAYMENT. (SRS EHD FOLICY 94-0017) - <br /> 5. ORIGINAL PUBLIC FILESIRECORDS 911ALL NUT BE "movrD FROM Tits BHV PREM/SEs. <br /> DATB <br /> SIONATURB()V APPLICANT <br /> stoNATvrteoF RJiI,JinslNo ornClnL <br /> BATE <br /> NO FNS1Et-lp Rr�ctlnDslF>�ARn IDRNTIF7BD: .�tl,� <br /> ' PNS/GND RECORD&IPILP3 EXIST oN T11s ADORCSS(ES) NOt ED• YOU WILL ER NOTipvib M'M <br /> p,rfURDSIIhLE8 ARE AVAD,ADI t,FOR REVIRWI <br /> ll" *n. Nao.c�iwv.n..,c <br /> i <br /> 7DTRL P.02 <br />