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11AR-29-1995 14:52 FROf•' GEOLOG I CAL TECI H I CS TO _ 4�1t <br /> *"Moll quo- C�73 <br /> ER DO 14 (REV 1/94) SAN JOAQUIN COUNTY: <br /> PUBLIC HEA.LTQ SERVICZS �- <br /> ENTVIRONMIENTAL HEALTH DDiris,iON• <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP1?:iCAN'T 7 i! PMNE NO !.3 Fr"G'fg 4 <br /> AGENCY NAME ' PHONE NO. <br /> ADDRESS <br /> i77 <br /> TIIT$ NOT' i�T <br /> 33 SUEC�T TO 'DIPS REWREMENTS IDFNMVIED IN THE PUutlC IISALTH <br /> SfiAa►ICES/ I RONbMENTALA' F LTH DIVISION (EHD)POLICY 04-007,ORDINANCE CODS OF SAN <br /> JOAQUIN CO NTSf, EHD FEES A D SF_RVICE CHARGH R MLIMONS, <br /> STATE WAT, t CODE. <br /> C0VMtNMW4 COI}E AND TIM IsVIDfiNCE CODE. <br /> 1. A M,uiutitLrat OF TSN (IO)PRZJs 039 ADDAM6S PER Rj;qugsT. <br /> Z. Pugin F7I.FS/RECORDS REYIL W t3 by <br /> CtI~UN(IAP�OINTM VT OIYLLk. APAoff4TME U ARE AR.RANt7tiD SX <br /> (20"-0340C OFFNtg HOUM FOR App4fN'LR eN T3tS SCSiHDUCED MONDAY I xRlt Fkm <br /> -EXCLUDING ff(?i1DAAY <br /> YS, 8:00 AM TO JZ:00 NOON AND I:OU Pm To 4:30 Pfil. <br /> , <br /> 3. A Pvsiic RWrM RMM%sg APPLtcATION(PRRA) is REgUMEO: <br /> 4• - <br /> gt18tJC°PIUWiUCORDS NpT 1tmMWuD IN TIM 9A1►MD C <br /> By ONUFtION AS RBCEt�7Eb WILL 8$ <br /> AfPI ICl#NP FFmC9RRF]Crz n <br /> Lic EHD:S AFF AT?RB PacprsNss OF TUS APMCAHr_ THts ADVn7ONAL SOMME WILL BE OtL ED To T7t8 <br /> P*YMFNT: (MM ATD P02.icY 94-007) <br /> S- QRA7Qf�L Pfl$LIC tC0RD§oziALL NOC BE R$MOVIiD PR_ M 1'HU Rut) PRw6asm_ <br /> SIGNAT.11tE 00 APPdCANT bwT& 3 G <br /> SIGNATURE-OF RELEAsmc;OFFIQ , <br /> DATE <br /> Na PIIs1P.HDi Rscou�s/EaRs Atm mom: <br /> ;Slao <br /> R> oxsys/F3t .i lOttsC ait zag wtwa>?ss(gs)A[al Yov wllyi.BE 1Y0 [ED v►1�E1�I <br /> �� ttrrQ►7e m <br /> CwYRw tlww- <br /> TOTAL P.02 <br />