Laserfiche WebLink
ER oa 14 fR&Y $194)0 SAN jOAQUIN COLNrY 0 <br /> Pt Duc ]TEALTII SE1tkICES <br /> E VIRONMENTAL:MTH DIVISION , <br /> I n-BLIC RECORDS RF.T.ISASE APMACA'rION. o y <br /> APPLICANTamici r,n Srh Acte s PSC?NB Nf1 S t o 1 ? Z 1 <br /> ADDRESS ( �n <br /> AGENCY AbU : k3iOPiE NO 5c� rnt <br /> ADDRESS <br /> C <br /> Law D ` <br /> It. ?Cl <br /> Ib <br /> I <br /> THIS NOM13.SUBJECT IM T3iF- R£QUIVEMENTS 11DENYMED IN- 7nE PUSUC I�SALTH <br /> SERVICES/ 'VIRONMENTALHEALTHDMSION¢Ek t P012CY d94-007,OMNANCE CODE OF SAPS <br /> JOAQUIN C LINTY, MD FEES AND MvIcE CFi'AItGL+ RSSoLunoNS, STATE 'NATER CODE; <br /> GOVXRNM CODE AND THE EVIDENCE COM <br /> 1. A n4vK OF TEN (19)PNRrADH ALDR$ssys FSvk x&2V66T• <br /> 2. PV9LI MIIMRECQRDS REVIEWb 9Y AEEQU==CNI.,Y: APPOWWWO ARE AkRANOW BY <br /> CAL JNG 469=b340 Onwa Proutts FCR APP69gH M Atm aCRMX ZD, i• OMAY T=t) FAIDAY <br /> EXCLUDIN HOLADAYS, 9:00 AWTO 12M NOW NJ 1:00 itf TO kV. M4- ' <br /> 3. A Pu R=Rm R81AMS AFP1.==K(f321dA)t7 EBQUt[t13�: <br /> 4. PUSIL16 FiLESIR,ECORM Har XZTUANRD M4 '118 SAME dONdMION A.S 3it,=Vm ttu,L IM CORRsc� <br /> 87 THt ERD ii ADP AT THs zmt.96 of Trt$AmucAM: TRIS Av=MNAL TWw? R 1VILL AR:'tit 2 3)TQ THE <br /> APPUCAM' FOR TAYMWr. (5"EW PoL=94-007) ._. <br /> S. oftic4RAL Pv3LIc FaLW We vtALL.Norlig Am4o.vta=Trg >m <br /> ALI <br /> SiGNATUISE F APPLICANT:. <br /> DATE <br /> SICNATURS Ft tVXu%SING 10MC1AL DATE <br /> No PHWEl D REeoaaslFtLM.uta lommFtca: <br /> PHS/SHD RwoAos/Fmxs axisr is Tae kbDRFSS(Rs)Ram. Y m ?MI.aS 1VUT7P]Cb watrt <br /> REC9RDSM=ARE AVAILAb1.E,FOR R=tW: - - - <br /> a*a ■wares m MOnripalM bN! ... . <br /> TOTAL P.02 <br />