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09-12-1994 02:llPM---\FFaJl <br /> EIi OU 14 (REV SM) SAM JOAQUIN COUN'C <br /> -_ t PUBLIC UEALTII SMVICEs'S <br /> EN'VIRONMEN'TAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE A#PUCA,'TION <br /> APP11C.ANrl' Qxe ?a-orw6iJ MONS NO <br /> ADUKESS I F 9 7s r sr Ivo G 9 3 moo& <br /> AGENCY NAME 'mom. <br /> NO <br /> ADMESS <br /> F Lfi ADDF,PSS AI3 AGHNGY DATE <br /> 0 1w Xr I JrjW.PIC.:> _ �LA4,,e G'^ <br /> �14d � 111 !Lb 2 D _ <br /> ; 7�,ilcy ars Pyr 5� 1V6� aF MA<Ate:S+rx r U`ALPWe.'5 6$ ^ <br /> i <br /> THIS No-I" 13 SUMECT TO SIH REQUIPMMFM IDErMnW IN nM PURUC HEALTH <br /> SERVICFSIE VIROMMENTALHEALTH DIVISION(EHD)POLICY#9*M,ORDINANCE CODE Of SAN <br /> JOAQUINLINTY, EHD FI?EES ANSERVICE CHAERGE RESQF Un()NS, STAT]g WATyi C.oDE,. <br /> 00VFRE1OT CODE AND T14E EVIDENCE CODE <br /> 1. A MA XMW14 QF TFN(IO)AUMISE ADDIMMES M ltrQuwr. <br /> r.` <br /> 2_ FUDb FlLBURECE)IiDS REVIEW Js BY"POR"WENT ONLY: AProwmmgm ARS/►RftAwrm>sr <br /> CALLING (2119}469-0140. OFRCS HOM FOR APPOMMONZa AIM 3CIIEDULED MONRAT TIIRU FMAr <br /> EXCL.UI)IN13 ROUDAYS,8:00 AF[Y+D M--00 NOON AND 1:00 PA#To 4:30 rM. <br /> 3. A PfliLIC RECORM RELEASE APPLICATION(IAM)13 ItSQU*6D. <br /> 4, Pu)3u=F'ILENRECORDS NOT R$rl1RNIsv!N Tna SAME CotvmmN^s IIFCFSVED WILL DS COaIRBCTW <br /> BY'TFM END TAFF AT THE EXPIINS5 of THE APPLICANT 17MIS.4f?DiEIONAL 8MVICE d/ILI. 8B 111r s s.,TO I= . <br /> ArFtvc.AwlT PArnuwrr. (Sim 04D:POLICY 944)0 <br /> 5. OlaamAL PVEtjc F1LESIRECORD3 SHALL NOT 99 xwovED FRom mW EHD PRZbWBS. <br /> SIGNATURE F APPUCANT DAM � 1 ?14 <br /> SIGNATURE FRELEASM0 UFMdAL DATE <br /> No PHSJEI I 1REcoIlOSInlo MM IDQfiIFIFrb: <br /> tr„s 14Qa4�rrr tsannorr�P��x , <br /> i <br /> PHS/EHD Rscom)F=sw oN TnR Abnlxss(t a)marrsb. You WaL RE Nom"Ka WHEN <br /> McoljWFIL=Am Av mAow Folt RBOISw: <br /> kwmwm4 s Mal p!wlON ewe <br /> C � Alk, 1.6 �99�f <br />