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L+"It vU 14 (REV 5/94) SAN JOAQUIN COUNTY 10-1 <br /> PUM,IC IIEAI;1'11 SERVICb„5 <br /> FMIRONMENTAL HEALTH DIVISION l <br /> I'MIJAC JUX0I MS RE I,EASE, AITIACATION 3 <br /> APPLICANT ,4(_ E X�,4 L,,i /j,+c- <t III IONI- NO 3 3 f - c-P l T Cv <br /> ADDRESS ,P9t/, `oiv�y C2. (2 ��'11�0 CA <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILL ADDIZESS LEAD AGENCY DATE 'ZIq <br /> Ca � <br /> 2 c Z O Zo s5$. <br /> L.. D P ��' <br /> Lo P 35' <br /> ; a <br /> TI11S NOTICE IS SUBJECT TO 1.111: REQUIREMENTS IDENTIFIED IN THE PUBLIC JIFAUI"H <br /> SERVICES/ENVIRONMENTAL IIEALI-11 DIVISION (EI-ID) POLICY 1/94-007, ORDINANCE CODC OF SAN <br /> J(7AQ111N COUNTY, CMU PEES AND SERVICE CHARGE- RCSOLUI-IONS, STATE WATER CODE, <br /> GOVT RNMEN'r CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM Or TEN (14) 1'RliA11SE ADDRESSES PER REQUEST. <br /> 2. PUBLIC PILES/RECORDS REVIEW Is BY AI'1'OINTMEN'r ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (2U9)468-0340. OFFICE tiouRs FOR APPOIN-I-MrNTS ARE SCIIEDULL•D MONDAY TIIRU FRIDAY <br /> MCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM *ro 4:30 PKI. <br /> 3. A PUBLIC REcoRDs RELEASE APPLICATION (1111RA) IS REQVIREU. <br /> 4. PuBuc FILES/1111CORDS NOT Rrruixmcm IN TIM SAME CONUrr1oN As REcLrvr_D WILL BE CORRrcrrsD <br /> I3Y TIIE E1-11) S'rAFF A'r THE EXPENSE Or TIIE APPLICANT. TIII$ ADDrI'IONAL SERVICE WILL III- BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE CMD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILLS/RCCA WS SIIALL NOT OF, REMOVED FROM TIIE EIID PREMISES. <br /> SIGNATURE OF APPLICANT Gu.i DA'L'E 'y Z(o" 5 <br /> SIGNATURIsOF RELEASING OFFICIAL DATE <br /> No PIIS/01D RECoRUS/FILES ARE: IDENTIFIED: <br /> DArne Rminwnn wr: KmrtCAmw. DEMI <br /> PIIS/11111) RECORDS/FILES EXIST ON 'rill? ADDRESS(ES) NOTED. You ivmi, Or,. NUTlrrrsi) wnr?N <br /> ItECURUS/1 mr-q ARF, AVAILABLE FOR imvirm <br /> bme Rtmi ro o wv! Nimm-AMW Dime <br /> r <br /> ��a7�gS <br />