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FROhI GEO-PHRS�cjENV IRRL- INC FNJNE - _ — -- --- - ,-;-f <br /> tJD. 209 569 029 --._ <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SER DI SIUN - <br /> ES <br /> ZNVIRONMENTAL HEALTH <br /> PUBLIC RECORDS RSLEASI3 AppLICATxON <br /> • PHONE NO <br /> APPLICAN't' S . ICQ^��c1isY�f _ <br /> ADDRESS — <br /> AGENCY dr <br /> ADDRESS <br /> tiikRY#yY#iAiik###if1#Ytk#+++*+i#i##k++Yi#Y##+i##ti ,t,,+,#nrs.of#n tMf rtlf.lt <br /> AIIRYNgSS X I <br /> OR <br /> u I ADDRESS var ?TY TYPE 0 FILE- <br /> #Y •iYi1 #i tkYYr Yk triittl rY M### kitY't###Yf##Yi Yrtk <br /> HIS NOTICE I UBJtCT TO THE REQUIRE NTS IDCNTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMEYN.TALHEALTH ISRCPOLICY <br /> D DEVE CIARGERESOLUTIONS, <br /> �STAT�E WATER COD <br /> SANJOAG <br /> GOVERNME <br /> CODE AN EVID OD <br /> 1. A MA UM OF T PRE DO PER OU <br /> 2. PUB FI ECORD5 VI " IS BY PO LY. APPOINTMENT$ ARE PROCESS <br /> ED D BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORD$ RELEASE APPUCA7ION tPRRA1 IS REOUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> SEORVICETWILL BE ILLEDTIONAL <br /> STAFFED By THE EHU APPLICANT.D <br /> IHE APPLICANT FOR PAY ENT. (S E EPOLICY 9041 <br /> TO0071 <br /> ad <br /> S. ORIGINAL PUBLIC FILES[RECORDS SHALL NOT BE REMOVED FROM THE END PREMISCS- 'y>` <br /> , .. ... .... ........7.. .. ... <br /> SIGNATVRE OF APPLICANT <br /> • ^ DATE <br /> SIGNATURE OF RELEASING OFFiGIAL <br /> PATE <br /> Eli 00 14 (REV 9/9611 <br />