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/ f SAN JOAQVIN CQIiN 'Y ` <br /> FURUC MEAL" SFSLViCKIR <br /> FNVIRONMFNTAL MAL.TII DIVISION <br /> MULSC RECORDS 2M.9"s}} APPLICATION <br /> APPLICANT In S £�. 0 ufvrE` �Scc PHONE NO !fLj//, )qrz-74¢i <br /> ADDRESS 2229 4.&AMn o;rmwyIve- Snc �k,..ir C"A f, 5 <br /> AGENCY NAMB PHONE NO <br /> ADDRESS - <br /> PILE ADI7RffiS LEIM AGENCY DA <br /> 44 ,ak-q PID . Y=n SJn F N o <br /> 7-431 .U,}g+so5;n2n.-S' +v,,, _SM�D.1#1(-ID <br /> ,JArl mi * ar . .Uf T.—F <br /> TFTiS NOTICH IS SIIWECi' TO TAE RHQUIREMENI 1013NTN•TRD IN THE PTIRT2C' FMALTH <br /> SERVICGSIENV[RONMENTAI."ALTR DIVISION(BHV)POLICY 192-0117.ORDINANCR COT)OP RAN <br /> JOAQUIN COUNPY, EHD FEE AND SNRViC$ CHARGE RESOLUTIONS, SPATE WA-ITR COT), <br /> GOVERNMENT MDR AND 1110 MDWCE COD& <br /> 1. MBIJC I'ill3S/R9CORDS REVIEW ARA BY A ENNTMFNT ONLY. APPOINTMENTS ARE <br /> ARRANGED EY CALIJNO (209}kS M. (JFPLCE HOURS FOR AM)INI-MI*M ARR SCI-IRDOLED <br /> MONDAY THHU FRIIJAY PXCUMM iIOIJDAYS. 9:00 A-M. ID Mon NOON AND I!M P.M. To e!In <br /> P.M. <br /> 2- A MTBIIC RECORDS RELEASE APPLICATION AND A NDN-111,1FUNDABD DUTOSIT OP 578.00 <br /> IS REQUIRISD- DEPOSITS WILL n ItSTURNEb TO TiIE APPLICANT IF THA.1'H. ISMECORDa ARE <br /> NOT AvAIIABLE WITSITN THE CUSTODY OF THE 1111D. <br /> J. THE ABOVR Ii)P.N"MFIFD nPPfVTr IS MUM TOWAROA THR TOTAL Film RP_VIEW FRF_ <br /> ."AR:B. TILE BAIANGB OF THE CIfARnPA ARtt tit In ATI" PAV IJ AIn, U SIP P.BVIRWINLI TNR <br /> D(CIIMEMXS). <br /> 2 PTIT LIC 1711.ESIRECORDS NCT RMRN$D INTIIL'BAMO CONDITION Aa RCI_i]vED WILL.BE <br /> CORRECTED BY THE Mu STAFF AT nM RKMNS$ OF THE APPI.IcANT. Tina ADDITIONAL <br /> SERVICE wit I.RR MlLEU TO TSTA APPI WANT PM IIAVMpj.T, <br /> S. ORR.iINAL PUBIJC FiLEYR SHAH-Mar$H R6MOvED FROM THE mu) PRmAises. <br /> SIGNATURE OF APPLICANT _ DAT13 <br /> 5Ir,NATURRUPRELAASING0 I. DATE <br /> LR iR1 Il (RFV 10/92) <br /> ze a <br />