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O7-18-1994 14:02 FP.ON TO 12094640133 P.01 <br /> Y Ell Ota 14 V 5194) SAN JOAQUIN COUNTY <br /> PUBLIC IIEA.LTII SER17CE5 <br /> ENVIRONMENTAL HEALTH DIVISION G�t�� c�> <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN'S' /it NIPSo� ' �q N rV PIiONS NO �/`f-1�Y/�7 y y <br /> ADDRESS <br /> AGPNCX AIv1H_ � S PI10NB NO <br /> AI7I7RES5 <br /> I _ <br /> S S LaAD AGE.NCX DAIE <br /> aaAtr.� Cp d e1:11vF?GATA9 /d /Ft s <br /> or <br /> Tmji-NOTIc IS SUHJSCT TO THE REQUIREMENTS IDENTIFIED IN 711B PUBLIC HEALTH <br /> SERVICESI$ VIRONMENTALHBALTII DIVISION(IIID)POLICY #44-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMF-ODE AND THE EVIDENCE COME. <br /> 1. A M M OF TEN (IO)MPM139 ADDREMS PER REQUEST. - <br /> 7'. PUBO FH.F_S/RECORDS REVIEW Is BY AP-[n1t , 4FNT ONLY- APPOINTSNRN'Ts ARB ARRANOBb BY <br /> CALLING )468-0340, oI mcs HOUR!1 poo, APPOMMENTs ARE WRGVULM MONDAY TItRU FIt16Ay <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12.00 NOON Atte I-DD Fm To 4:30 ml. <br /> 3. A Pu uO RELORD$RFR.BASB APPLICATRM4(PRRA) 19 REQUIRED. <br /> 4, PUB PILESIREC0;tM NOT RETURNED 1N 'MIS SAME MVD710N AS RECEIVED WILL BE CORRECTED <br /> BY THE LRD 7AR; IX ' <br /> FA AT TIM OF THE APPLICANT. HIS AhDEMNAL 9BRYICB WILL R6 AU I K To T146 <br /> AMICANT POR PAYMENT. (SEL F.HD Poucy 94-W7) <br /> 5. OR1ot61AL PURLtc p11-139 RECORDS SHALL NUr BB RE.Moveb ROM TRB ELID FREM1SU. <br /> SIGNATURE I F APPLICANT ^. DATE <br /> SIGNATURE F RELEASING OFFICIAL DATE <br /> F�NVVLSIE"ADRDSJFILES ARE MiSM&IED: <br /> ERl3T ON THB ADD EWES)NOTED. YOU Wild.BS NOTMIED WjtFN AvAiLABm POR R$vlfiW: <br /> Cww,p 1Y. N,..m..w Mme: <br /> TOTAL P.01 <br />