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98 - 138 <br /> TO 14153314416 P.01 <br /> 61-04-19?7 04:55W C) <br /> 2� � _,�,��•4 - a 13S <br /> SAN JOAQUIN COU2T'Y <br /> PuBZIC HEZLLTH SERVICES <br /> ENVIRONMENTAL USALTH DIVISION <br /> PU9LIC RECORDS R_VLEASE APPLICATION <br /> Li 564R A PHONE NO tXl C 331 V 1 d <br /> APPLICANT Oli ViA �aI o fya iS 33) 30 % — <br /> ADDRESS O S r A PHONE NO <br /> AGrINCY NAtB <br /> ADDRESS <br /> s••i+,t ilex##i*+*ttx*x**xx«wxxx*x#+r+xx+*+**++#*****xxy'txY####+#*xr. <br /> .e Tni— S NAME/ P40CRA OR <br /> F1�LL� �I�- <br /> -ACZLITX <br /> fli• t <br /> redo S'C� �- �13C <br /> ��rn•. "�-3 4-7- - <br /> o,.*e <br /> I, — <br /> ------------ <br /> -------------- <br /> THIS NOTICE IS SUBJECT TO THE REDUIREMENTS IDENTIFIED IN THE pUBI.IC HEALTH <br /> SERVICES/ENVIROAIMENTAL HEAL H DIVISION SEHDI POLICY 094-007, ORDINANCE CODE OF <br /> SAN JO QUIN COONS AN THE EEE AND EECODE•CHARGE RESOLUTIONS, STATE WATER CODE, <br /> MENT <br /> I, <br /> AMAXIMUMOFMI101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIBFCORDS REVIEW IS BY APPOINTMENT ONLY, APPOtN MENTS ARE PROCESS- <br /> THRBy U FRIDAY EX Q9I4G8-LUDING HOLIDAYS, B 00 AM TO <br /> ONOON ANDINTMEXTS 1-00 TO 4;30 PM <br /> MONDAY <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED' <br /> A. PUBLIC FILE5lRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 8 <br /> CORRECTED BY THE EKE) STAFF AT THE EXPENSE OF THE APPLICANT- THIS ADDITIONAL <br /> SERVICE WILL BE BU1ED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- OOT) <br /> s. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE eHo PREMISES. <br /> ` <br /> ..*...... ......... .......... <br /> (P1A --- <br /> SIGNATURE OF APPLICANT <br /> DATA -- <br /> SIGNATURE OF RELEASING OFFICIAL-_ <br /> EN 00 14 (REV 9/96) W02 <br /> T16�+TEE+SIt' -OIJ 3NOHd S3DI�2i35 '1d11J3dNOJIfiN3 N�Jd <br /> Id Wd8S:b6 E)661 Fo •u^r ' <br />