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Q 00/061 <br /> 4 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES ENVIRONMENTAL K- AL:TF f <br /> ENVIRONNIE1iTAL HEALTH DIVISION PERMIT 1 SERVICES <br /> CLIC REC01WS RELEASE APPIWATION <br /> AP CANTzzcp <br /> ADDRESS -- , <br /> AGENCY NO <br /> "DRESS <br /> t !Ll 61ui'& m Ltti k"_ t� fcs <br /> _ _- <br /> � <br /> 3ofc <br /> Tms scr fcu is suwE 'T TO rRE RE��S IDENUPEW IN THE PIMUC REALTH <br /> SOLVIcEs/E.m'€RONMENTALHEALTH DIwISIUN(mm)POLICY#92-oo7,oRDi tiT:ANCB CODE OP Std <br /> 0AWU N COUNTY, ERD FM AND SERVICE CRARQE :ICMOLUnONS. STATE WATEKI COD <br /> G0VE?-NW NT COM AND THE F VMENcE CURE, <br /> A:.MAZ11di31ti+[r01F' I SIC!} 3ISId AI1LlRLa�S I' k F�EQTTET. i <br /> 2. PUBLIC FILES/RF.CDRDS UVIEW ARE BY A=NDd ff OIYL Y. AP oDnmiRiti Ts ARE <br /> ARRANGED BY CALLING (2M)468-0340. OFF(CE HOURS ICOR.APPO NTME,NTS ARIi+.:SCMDUMD <br /> MtJN'd.A,Y'T='U FRIDAY EXCL..UT NG ROOD .YS,MOD A.M.TO 12,00 NO+C1KAI►D 1:00 P.M.TO 430 <br /> 31 A VtMUC XtEMRDS RELEASE APPLICA'1'TCII'+ AND A XQm- mt+�LB.DEPOSIT OF$78.00:: <br /> IS RRQL . DE,P'Offn W111,ld R s�•i,7R1"W TO THE APPLICANTlI'"I'm IMMAt3`sC4RT7S.AIS <br /> r <br /> NOT AVAILABLE WITWN Tali t',Umpy op Tim Vii; <br /> +I <br /> TRE A!30VE IIJWLI M DEPOSIT IS APPLIED TOWARDS' TOTAL.ME RFs'MW M, <br /> C.11AILtiIt. <br /> TIRE BAL,AI GE..OP THE LVAY'tGES ARF3 DUE AND P'A`7tA1#I,,F- :T It$VI3�"WI3+IG:::TFIFs <br /> $NT(S). i <br /> 1 <br /> S; PUBL C VILBS' ORDS I+tt t'RETUI ED IN TNI?SAME CE��1I�I'ON AS gEC b wIIL'BE s' <br /> COACT ED BY TM.MD.$rAFF SAT TRE F#Msa olz B A Z 'IHC9. AbI)IT1c�NAY <br /> SE!R C,Li WILL.E9 Ai TO THIS APPLICANT FOR PAYMENT. <br /> t. <br /> S 0XIOINALMEMECORDS SHALL NoT BE REMO JM:.PROM TI3F,3, rusk <br /> x i <br /> i <br /> SIG AI'M OF'.APPUCAI T' . ..... <br /> i DATB <br /> 410"T URE OF REI:BASM OFFICEAiL. <br /> I)ATIR:.. <br /> FEL.tT+C1,t'4 ifiY t2/92): <br /> Z7zzi79�35.. 0.r.50 gOFa lx, 19 <br />