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DEC-06-1994 14:36 FROM F IMC. TO 1209,1640138 <br /> Ell 00 14 4REV 5194) sAN JoAgUIN COUNTY 1i Z <br /> PUBLIC ITEAL7II SERVICES <br /> j ENVIRONMENTAL HEALTH DIVISION <br /> ! MILK RECORDS RELEASE APPLICATION <br /> APPI1cAN kct hl <br /> ADDRESS I <br /> AGENCY NAME PRONE NO <br /> ADDRESS I /2la0 <—d- b% Pitt�1 � <br /> 43 � � <br /> IMP AGENCY DATE <br /> {3 �� <br /> TH]S NOTi IS SUBJECT TO THE AEQVIRHMENTS IbfiNTTFIED IN THE PUBLIC I�EALTH <br /> SERVICESlE VIRONMENTAL HEALTH DIVISION(EHb)POLICY 994-007,ORDINANCE CODE OF SAN <br /> JOAQUIN LINTY, ElID TEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOV1:R CODE AND THE EVIDENCE CODE. <br /> L. A UM OF TEN (IA)MI MME ADDRESSES PER ILBQUEST. <br /> n' <br /> 2. PUBLIC FiLE3/RECORDS REVIEW o BY AFRO[ UID Y: APPOINiT ;UM ARE ARRANGED BY <br /> t,f CALLING S-0340. OFF1C8 HOURS FOR AFPOINTMWM ARB SCHEDULED MONDAY THRU FRIDAY <br /> EXcLUDING HOUDAM 8:00 AM To 12:00 Noon Ac6 Loo PM To 4:30 PM. <br /> 3. A Pu}IItuc RuCoRDs RMXME APPL=ATION (PPJW Is REQlWM- <br /> 4. PU6LIC F1I,E$IRECORDS HOT RETURNED BI Tlls BAMS CONDMON A3 A£=VrD WMJ- ns CORPMCM <br /> RY 'tHB EHD �TAFP A7 THE BXPANSC OF 7H$APPLICAMr. T1315 ADDITIONAL MIME WILL BE 21LLED TO 1I16 <br /> APPLICANT FOAL PAYMENT. (SEE ERD POLICY 94.007) <br /> S. ORICLAL PUBLIC F1LE5/RtCORD3!MALL Not'M PAMOvFD FROM TILL EIID PRP Ang-'t. <br /> SIGNATURE F APPLICANT __ DATE <br /> 530NATUAE�FRELBASINOOFFICIAL DATE -�- <br /> No PHSI D RHCO9XWX;L59 ARE MPNllMrM! . <br /> PHSIEHO RECORD"/FUM EX=ON THE AbDRESs(PS)NVTFI7. YOU "UL BS "11P15b WHEN <br /> RECOR,A3/FYLH3 ARE AVAILABLE FOR R%Vlkti: <br /> Dart b.war m M..v,t�,var Gari <br /> TQTPL P.02 <br /> TOTAL P.M <br />