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fig - 02r <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH -SERVICES <br /> ENVIRONMEIv'TAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �� e-17 L� 104rr+lt�z PHONE NO 9((o <br /> ADDRESS z 4-M Gs' <br /> AGENCY NAME PHONE <br /> NO <br /> ADDRESS <br /> i.. *-k•k•kik#iF***# #• 1•*•k•Jr•Ar*•kk##•kk71r-k•.Ir#�r#•k-k*�r-k•kk•k-k-ir^k•k-k-k**ir-irk#•*-kAr*�r-k•r-k;r-k•k#ir** <br /> FULL ADDRESS . BUSXNES_S NAME PROGRAM OR <br /> FACILITY TYPE OF FILL; <br /> Ssfr+, `f!'zoG Ca+��rc�����• �5,:�-S o�- Gas Sv�td_�a„ti <br /> S SfiaKis�a� — o{ – Ga sic <br /> 8r o( — Cct s ✓� <br /> - a d- oras t <br /> Cdi?�arng�Q6nS rviCe 5 Fro✓J jS.�.v '_mf - Gaf to�cL•?�tovi - <br />• � atFren rrM�r'�v�Cd�/'�to]�r�C Gas s�a�revl <br /> GY(i S a� o <br /> -I! J` JQn.i� - n sav3 wt fGYy�� f`CQ�e 1LAC. <br /> i r GC{it S 1�Q 1�SD1d +`M <br /> S. Gc r rc 7 S�oz ctiC'1'c- Gal tlno ysXoi--Gas S f^��tohJ <br /> F• <br /> #lr* ,Ft-,Fk#•kk•k•k-k+t•k*•k-7i##-k* k# f 'k'F•k'8'•A •k*#*-k•kyF#*,Irk•k-kk�rkk-k-kk-k >•k**icir*-kir# k)r* k <br /> THIS NOTICE i5 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> 07, OREN <br /> SERVICES/ENVIRONMENTAL HE=ALTH DIVISIOCE C ARGEIh RESO#94-LUTIONS,, STATE WATER CODE, <br /> rsur. SAN JOAQUIN COUNTY, El-io FEE AND SCRV <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF IEN J101 PREMISE ADDRESSES PER REQUEST <br /> 2: PUBLIC FiL1:S/RECORDS REVICW IS BY APPOINTMENT ONLY. APPOtI�lTl1IEEi\!TS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ASE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:40 AM TO 12:00 NOON AND 1:40 TO 4:30 PNt. <br /> 3. A PUBLIC PILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESlRECORDS NOT R>=TURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT Tl IE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> r 1 ' <br /> SERVICE WILL BE BiI.LED TO THE APPLICANT FOR PAYMEN3. (SEE E!'O POLICY 94- 407) <br /> i <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> K i K K i K • K K f 1 i f f K K f+N i K f� •K f K ♦ f ` .......... <br /> f K♦{f K f f I f f 4 K♦ f a • K f V 4 +K a i i <br /> SIGNATURE OF APPLICA o""`rL\ DATe <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br /> l <br />