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916638029T • T-840 P 02/02 Job-656 <br /> l.NR-31-99 08:2A From:N1CLAREtI/1. . ENVIRON ENG'S <br /> 99-077 <br /> SAN JOAQUINCOUNTY <br /> R IES <br /> PUBLIC HEAL' D,Cl ISrON <br /> ENVIRONMENTAL )," SESE <br /> L,UHLIC RECORDS R.ELEAS& APPLICATION <br /> PHONE NO � XS�I-1Lt1�1 <br /> AppLICAN'PPFNONE NO <br /> ADDRESS I�1f�.L ` <br /> AGENCY NAME - <br /> ADDRESS <br /> r:xtttr+t++t++++aar++a#arta+trx++r'a+ttttt+itxxt+itPROG+AM Otic++ <br /> DD v nneT- NA�SS A TyPF OF <br /> LULL � � CSL <br /> _ <br /> LO n t� <br /> < o <br /> W. <br /> - L4dZ (r..cnlw` Sl�. �— <br /> ttr t#rrtt+7rtaatt#t+#ra+a+'ataattit t*++r#+#ta+##YK+++++ tit tttt+x+t+ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVNOTICF IS SU1 JECTT HEALTH DIVISION IEHDI POLICY .194-007. ORDItdANCL CODE OF <br /> SA VERNME JOACUIN CODE NOITHE EV DENCE RV C72 CHARGE RESOLUTIONS. STATE WATER CDOE, <br /> GD <br /> 1 . A MAXIMUM OF J_EN NO PREMISE AUPRESSES PER REOUEST <br /> ME <br /> ?. PUBLIC FiLESfRECOROS REVIEW IS HY APPOINLT_flNIY- APPOINTMENTS ARE PROCESS <br /> ED <br /> 13 F DLIINO(20914C - OFrIC <br /> H-3470IDAYS. 3--()0 AM TORN OO NOON ANDIROO TO 4:30 P . , . <br /> 3, A PUBLIC FILESlRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC HLES/RECOROS NOT RETURNED IN THE SAME CONO(tlDN AS RECEIVED WILL BE <br /> SORV CETWILL BE BB LLED TO THE APPLICANT OR PAYMENT. (SEE E�F THE HD POIiCY 94 pQ7 <br /> 9. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE RCMOVED FROM THE EHD PREMISES'•-. <br /> ... <br /> ..... ................ . DATE <br /> SIGNATURE OP APPLICANT DATE------ <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 91961 - <br />