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��.......cc.�•v .YAG <br /> 10-27-1995 11:39 P.02 <br /> Ell O(} 14 (REV 5/! SAN JOAQUIN COUNTY <br /> PUBLIC IlEA,i.'1'II SERVICES #95-zIS <br /> EA`iVIRONMWFAL UEALT'Ix DMSION 3 v LI <br /> n <br /> PUBLIC RECORDS. RELEASE APPLICA.IION <br /> APPI.IGtl c A S O� U PHONE NO( 3 3 <br /> AbbRFSS j-,?q;4 A1nd;Snn AJP. } < : tQ I(.?- <br /> AGENCY <br /> (.}AGENCY NAME, Yet:o v� l r c PHpNB NO <br /> ADDRESS }- Lt Mad 'rnr Qtl, j Sw• �C /G 3 <br /> kIL$ ADDRE,SS LEAD AGEtJC DATE <br /> 52 ( h fokee f_anP YiIf lzy-m 35,1\ 4 <br /> to <br /> THIS NO110E IS SUBJECT TO 71413, RRQUIRE-MGNTS IDUMFIFD 1N 711t PURUC HEALTM <br /> SrJRVICGIS/ENVIRONMGNTAL HEALTH DIVISION (CHD)POLICY 494-4307, ORIItNANCtj CODE OP SAN <br /> JOAQUIN COUNTY, EHD FEFS AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE T) <br /> _ O <br /> I. A MAmmum OP T`FN (10) MEMISR ADO >;ss <br /> Ras rest R6QUPsT. (��J�f!'J I 1-iI(V` \L�'J(J D <br /> 2. PveUc FILESIRECORDS REVIEW 12 AY APPOINTMENT ONLY. APrOINtxQI( r#A#&, �OSDST <br /> 68 <br /> CALUNG (209)4 -0340. OPVICr frovas POR APPOINt illrM ARs SCHMU= MO IR DAY T11RV Rtonr <br /> EXCLUDING HOUDAYS, 8:00 AM TO 12:00 Noor+ AND 1:00 PM TO 4:30 I•M. ENVIRONMENTAL HEALTH <br /> 3, A I'vauc RACOROS AelEAsa ArPL1CATION (PARA) tg nAQU1REb. PERMIT/SERVICES <br /> 4. Pui3Ljc FII MfRECORDS NOT RETURNED IN T119 SAMA C'ONDTTION As RECEIVSO WILL 40 CDRRBCiRO <br /> BY T119 EHD STAFF AT THE BXFtNSE OF ills APPLICANT. T111S ATj MONAL SERVICS WILL SB SILLFD TO TIM <br /> APPLICANT POR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILMIRECORDS MIALL N BB REI.tOVBO FROM TIIS EHD PR, f[SES. <br /> SIGNATURR OF APPLICANT DATE /n�,;Ll /q S <br /> SIGNATURE OF RELEASING OFIICIAL DATE / <br /> No P"WEND I•([iCORDS/FIL0 ARR 1DBNTIPMO' <br /> IItT Rrvq m Na•+•.aww Wm <br /> PHS/Eu,`]]/D RECORDAYFILES EXIST ON TII9 AGGRPSS(ES) NOTED. YOU WILL eE X(Mr t.D FTilM <br /> ReCORgSIFUIS ARE AVAILAxce roR Ra'rICW: <br /> i <br /> TATO- P.a2 <br /> A <br />