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DEC-08-1995 09:52 P.02 <br /> 09-19-.j595 08:56HN FRO ru •'�."•• <br /> EII 00 14 (REV 5144) SAN JOAQUIN COUN'T'Y <br /> PUBLIC IIEAL'I7I SERVICES f <br /> EWIRONwNTAT. IIEALTII DIVISION <br /> ITUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT /�{ciEpPi f .s ,TIONS NO S-2- <br /> AGENCY NAPd>3 P OkiE NO <br /> ADDRESS <br /> EUAADDEM LEAC- SATE <br /> a- - <br /> S <br /> I <br /> THIS NOTICE 13 SUB)6CT TO THE REQUIREMENTS IDHNTIFIED IN 'MR PUBLIC HSA TH <br /> S CODE OF�AN <br /> oSERVICES/ENVIRONMENTAL <br /> oN <br /> )POLICY 0`94-007. <br /> QUIN COUNTY, S <br /> NTY, EHD FEL9 RAND RVICB CHAR E PBSOLLMONS,DSTA ECWATrA CO G, <br /> GOVERNMENT COM AND THb EVIDENCE CODE. <br /> T• A MAXIMUM OF TRH(TU MWt38 ADDREISE3 Pea REQU6S1. <br /> i. PUELIC FILMRKVRDS REYTEW Is Er APPOINTMENTONLy. A"Olm-MEND A" ARRANO RT <br /> CALLING (209)46811340. OFF1C8 IIOURI FAR APPOINTMEIIT3 ARE SCHEDULED MONDAY TIrRH FRt AT <br /> EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 PM to 4:30 rw <br /> I A PVEuc R,,,. us Rai-g"m APPLICATION (PRRAI is ReQuOtED. <br /> 4. PURUC FHES/RECORDS "of p=URNED IN THE SAME CONDITION AT SBGLIVED MILL R8 CORN all <br /> RT T118 EHD STAFf AT THE pX"NS8 OP THE APPLICANr. THIS ADOHIONAL SERVICE MN'L 02 Ill TO TIM <br /> APPLICANT POR PATMEHT. (SEE EHD POLICY 94-007) <br /> 3. oammAL Pumuc PlLrsW l D5 SHALL an RPAIOvHD FROM THE EMS PREMISES. ' <br /> SIGNATURE OF APPLICANT c PATI( <br /> SIGNATURE OP RgLEASING OFFICIAL DATE <br /> Em = <br /> RECORU3/FH.ffi ARE IDFIrI1r1ED: <br /> O -n EXIST ON <br /> 1Ne ADOIIIMS(eS) NOTES. YOU WILL DQ NOTD1IPD WrM <br /> S TAILARLS FOR RX""' <br /> n. Non.c....�Pm• <br /> TO f7L P.02 <br /> TOTAL P.02 <br />