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Ell OO Id (REV 519, SAN}OAQUJN COUNTY. <br /> ti <br /> I PUiIJdC 1JEALTII SEItVICES <br /> JxiirJlrvrutillwN"IAJ, IiEAJ.TJJ DViSJON /C� K cl <br /> PURUC RECORDS ItFI,F,ASE AP PIJ (CATION G ' <br /> APP13CANT Art _ I' FfiONE Pio IhIL) �44-JSh7 <br /> ADORFSS '� j"7E Tr7F Ia Ck 4S"l�1[ <br /> AGENCY mAblH. L ccs"14- qlz _ F ONE NO 11) L I9-IT16 <br /> ADDRESS I S — <br /> T <br /> I - <br /> FIL E f1DD � LEAD AGENCY DATH <br /> I <br /> - <br /> 32eA �.fa31•t ,ta"(a P..d ��1 '�_I f�� f <br /> I --- <br /> i <br /> I <br /> TI41S NOTIdE IS 8UBIECP TO T}IE REQUIREMENTS tDENTIFWD IN THE PUBLIC HEALTH <br /> SEAvICE9rE4 IRON[MGNTALIlCALTH DIVISION(CHU)POLICY A94-097. OMKANCfi CODE OF SAN <br /> JOAQUIN Cr?UK", EIID PEES AND SERviaa amROE RmLLMONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE COOS. <br /> I. - A MIMt iOF 7B1 (19)1`1136%ADDRrsWW PER BERIIE7r. . - <br /> 2. P FILESJRECORDS REVIEW 6 nst <br /> BT AMINIMENTONLY. AProu'rem ABs AFRAoom eV <br /> CALLING )463434UI OPt-:CE ItM= rM ARORIT'MEPM ARS TaIMULEV MONDAY MEW PRMMY <br /> LXCLVVjN JACUIMYS, B:W AM TO 12:00 NooN ANO 1700 PM TO 4:30 Pr'A- <br /> 3. A Rs�mm REIXAsa APPucnrmN(PRRA)Is a®pUerm- <br /> t. PUR I FILMMECORDS NaT RETURNED UI THE SAME CONDIITON AB REC61veo WHL BE CORRearm <br /> BY TIIE FAD rAF4 AT MIS EXPENSE OP IIM APPUC11Nr_ Tlln ADDI['FONAL MAv1CS WILL DE ALLW IV nM <br /> APPLICANT PCII PAYMENr. (SFS END Pouci 94.007) <br /> I <br /> 5- OMiKAL PUS-JC PtLX-TRECORDS sRALL r+vr RE RIRMaysa"ON nu END PREM4Es. <br /> I <br /> SIGNATUREF APPLICANT Ll IV Ll DATE rjzX1 S6 <br /> SIGNATURE: <br /> F RELEASING OFFICIAL bATB <br /> No P(HS(04D R,.-C0RtWFRXJ ARB iDexr RM- <br /> 71rre <br /> PNSIEHD RlICUKV fFMJM EXM ON THE ADDRESX13)NOTED- YOU WII.I"BE IWN1fl M W ILMN <br /> TOTRL P,02 <br /> TOTAL P.02 <br />