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, I <br /> e� <br /> SAN JOAQUIN COUNTY <br /> PU-sLJC TEEALTH SERVICE-6; <br /> kNVMoNNjX, ITAL IMAULU DIVISION <br /> pi1Rt,IC ulrCoRDS RELEASE APPLICATION <br /> A1•rtIr_Arrr P�4� I?II orra rro <br /> ADDRESS n/ 231-CP, tivE!� �/JC/yi/V cit/�� <br /> AOUNCY NATvM Ef1A/Fy PHONE NO - <br /> ADDRESS <br /> LEAP MiENCY DAU <br /> 2�5 U <br /> Loo M i S F1 J c- <br /> ,?-q (2 LOO H(S <br /> 32 3 3 COO f-I i S <br /> ZV-E�'1 H-1 A 21 PosFl At)C PAYM <br /> - 3730~ MuNrt-,,LD AUc _ KLICLIMU <br /> V IJ Fo(fib Al)E Fes,, 4 1 4 <br /> Z(sion Loon�� S AJC SAN joAQU N AUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVInt0NM W ALRERLTF01VIS10N <br /> THIS NOTICE IS SUWtt—, ' To TIM TtPQ(11RI1M►iN'.C9 I1I.W411FIED IN THE. PUBLIC HEALTH <br /> SERVICESIENIMONMENTALHRAT:TZT TIT%'Ts14 IN (UND)}'tA lY 092-007,ORDIMANCE COD)3 OF SAN <br /> JOAQUIN COUNTY, BND FRRR ANT) SrRVICIR 04AIZ43E RESOLUTIONS, STA'T'E WATER CODE, <br /> QOVEMMENT CODE AND THE RVTTIFN(!TI c:( DI.I. <br /> 1. A MAXTWJM CIP ivN (W) 1'H13MISE ADDREssBS FER REQUEST. <br /> 2. PUHuc; FIr,nSlRl!(xiiRiis REv1E.w ARE BY AfF91NIhiBI T QW. APPOMUW175 ARE <br /> ARRANtIED 13Y CAT.T,TNn -lJr4)4f K-(1140. OFFICE HOURS FOR APPOINTMENTS ARE SCMDULt3D <br /> MONDAY THRU FRIDAY PKt,:LIJL)INU HOLIDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3_ A I'1J1+Uc 9-u'ORDS RELEASE APPLICATION AND A NON WXjWDAUX 1)M os r OP$7fl_m„• <br /> 13 RT((1Um_p_D. 06m3ITS w LL BE RETU 14RD TO TtM APPLICAN�IF THE PILPS/RPC ORDS ARE <br /> NOT AvAILABLE WITHIN THE CUSTODY OF THB BHD. <br /> 4. 71113 AlOVE IDE"FIED DI3POSIT IR AMIJUD ToWAR113THE TOTAL FILE REvlEWY FBA <br /> CRARO13, THE BALANCE OF THE CHARMS AR13 DUE AND PAYABLE nU�a TO REVIEWING im <br /> AOC-UAimw). <br /> 1. PUBLIC F(MSIRRCORDS NVI'Rli-FORNED IN THE SAME CONDMON AS R13CMVIM WILL BE <br /> coRRt,:cTPTI TTY ' TIE RRV STAFP AT THIS EXPENSE OF THE APPLICANT. TRTg ADDMONAL <br /> SER VICE WILL BB BILI-11D TO THE APPLICANT IrOft PAYMENT. <br /> K. CRIGUNAL FUBLIC FILES/RECORDS SHALL NOT 1313 REMOVEY) FItt:IM THl3 E'.HD PREWSBS. <br /> SIONATUPX OF APPLICANT / _ DATE <br /> ST0KATTJRB OF ML8ASTNG 0FFl(SAL _ DATE <br /> 13H 00 14 (RIEV I2M) <br />