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Ell UU 14 (REV 5194) SAN JOAQUIN COUNTY � qs- 8� <br />I'U11LIC 111EA1:I'll SERVICES. <br />ENVIRONMENTAL 1111,AL1'll D1';7VWN <br />PUBLIC RECORDS itl;I,l;ASE: APPLICATION <br />APPLICANT 1),4 (— E IQA t /S A- PHONE NO -? '3 3 1? — cF � l (,-, <br />ADDRESS 2 PO CA g S 2 Z o <br />AGENCY NAME PHONE NO <br />ADDRESS <br />PILL ADDI SS LEAD AGENCY DATri <br />2-2- 5 �'�� /mac' L o <br />•l'NIS NO.1lCE IS SUBJECT "I'O THE REQUIREMENTS IDEN IF•IED IN THE I'UBL1C IIEALTII <br />SERVICES/ENVIRONMIiNTALIIEALTi{ DIVISION (EI -ID) POLICY /194-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, MID FEES AND S13-311VICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVE=RNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN (10) PRi:Misrs ADURCssl:s PER REQUIiST. <br />2. PUBLIC FILES/RECORDS REVIEW is i3Y APPOIN I'MEN'I' ONLY. APPowrmu-NTS ARE ARRANGED BY <br />CALLING (209)468-03,10. OFFICE HOURS 1 -OR APPOINTMENTS ARE SCIIEDWLL•D MONDAY TItRU FRIDAY <br />(EXCLUDING HOLIDAYS, 8:00 AM To 12:00 NOON AND 1:00 PM To 4:30 mi. <br />3. A PUBLIC RECORDS RI:Lr:ASE APPLICATION (I'RRA) is REQuium. <br />4. PunLlc FILLS/RECORDS Nor RrrURNED IN TILE SAME CONDrrlON AS RECIiIVED WILL III, coaarcrl:n <br />BY TIIE EI -1D nAPF Ar THE EXPENSE OF THE APPLICANT. Tills ADDrrIONAL SERVICE WILL BE MILLED TO THF- <br />APPLICANT <br />IIEAPPLICANT FOR PAYMENT. (SEE EIID POLICY 94-007) <br />5. ORIGINAL PUBLIC PILES/RECQZDS SHALL NOT Be REMOVED FROM '1"SIE ETTD PPEMI5ES. <br />SIGNATURE OF APPLICANT' C,Ci.z>� DATE 41'-7-(o--95 <br />¢Ir'WAT11111; n1: RG1 I-ASiNf"l nv-mrIA1_ DA'I'S <br />No I'll-1S/EIID RECORDS/FILES ARE IDENTIFIED: <br />finln: Rn"nw,m er. Ntmrir.A/11M Deme <br />PIIS/17111) RECORDS/FILES EXIST ON TIIH AUUIXESS(us) No -rim. I'm WILD, ill's NOTIFIED WHEN <br />Rr.c,om)S/Fii,rS ARB AVAII,A1U.F r0K REVIEW: <br />DAM Rinnim"n •r. NlnirN•AIUW MITI! <br />