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e <br /> PFpI.IE NO. 916 354 3250 May. F78 1996 05:54Wn P2 <br /> •FROM RAMP GE �"'P // <br /> 3 - <br /> c7 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC 111:A1.T11 9E11VICES <br /> ENVTRONMI3N'CAL IIEALTII DIVISION <br /> PUBLIC ROCQRDS RGLpASS APPLICATIO <br /> /N <br /> � <br /> R4 �q a PHONE NO 1+ 16 35 `50 <br /> npPl�rcAr+T--T°—.��—.�4"SN Fe.3 G 1h��f ITit F 1,ft .0-5 <br /> s <br /> ADDRRSS 1't62r.' `�• �Y PHONI3 NO <br /> AGENCY NAME _ -• ------- <br /> ADDRESS� <br /> **tr#+##t##tttt+#ttxxx+tt++<*rtt#t*t+trot*tt*tt+**tt#t+*trt#ttt+t <br /> ist�zti>dss�I t�!_ ,vp- <br /> ISII,(, 11nI�R139S r•ACI[ T <br /> jvl� oP rlL;i <br /> ,Ip le9hl�y VsT VST Rei o"t <br /> 18d <br /> 4 oat ltayll �1vs S1kw C�ou�k M°k"t � I�S��jr <br /> In C ., N�1 pt ' ` 1 aN <br /> A N}V G4NIL�� N C ar Q90a� <br /> SZ-�L'•a Ca xfv USr�. <br /> (kor 'A + 'k <br /> 5 SaKtk a StkN �a��Ll� �3SsYYLf�`��14rm, <br /> #Wf s uNsr s OFficeLl — <br /> Y4L�4NiQ a Cpm,-wMiSi1011t.L OffICE <br /> 5D3 Ear L <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC ORDINANCE CODE OF <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION fEF1Dl POLICY b94-007, <br /> SAN JCGOVERNMENT NCORN AND THE EE AND E CODE.CHARGE RESOLUTIONS, STATE WATER CODE, <br /> 1. A MAXIMUM OF 10 INI PREMISE ADDRESSES PER REQUEST <br /> Z. PUBLIC FILESIRECOFIDS REVIEW IS BY ,APPOQ`iTM€N7 QNLY. APPOINTMENTS ARE PROCESS- <br /> APPOINTIM <br /> TI-IRU I EY CALLING i209)'jB13-3420. OFFICE U FRIDAY EXCLUDING HOLIDAYS, t!'OOUAM TORS R12:00 NOON AND 1:00FNTS ARE TO SCHEDULED 30 PM�ONDRY <br /> 3. A PU[II_IC FILESlRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> n_ PUBLIC Fu.ESrRECORo5 NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> SORVICETWILL 9E BILLED 70 1'IF AT THE E <br /> FIC- APPLICANTFI-OR PAYMENT. (SEE EHD POLICY 3OF THE APPLICANT. THIS 4OO )ADDITIONAL <br /> 6. ORIGINAL PUBLIC FILE5MECOnOS SHALL NOT BE REMOVED FROM THE EHD PREMISES. -•' <br /> sj * (J8 <br /> SIGNATURE OF APPLICANTF �� �� G r <br /> SIGNATURE OF RELEASING OF <br /> FICI L <br /> �� �_DATEJ I U <br /> Eli 00 14 (REV 9196) <br /> 13cst ti»la far (PPpi�t"+cnfi Wrula bis 7kues��y 51)4 l9 $ e P11 <br />