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I a <br /> SAN JOAQUIN COUNTY �r <br /> PUBLIC HEALTH SER�>IC�S _ <br /> EN�TRONII�NT'AL''HEALTF n2VISTONlilf <br /> =' <br /> If -orrPUBLIC RECORDS I2EI .Ee�SE 'A�I'L3CATION <br /> APPLICANT ea tl.v t� L . 8E4. YC041 <br /> PIiOI�$ .NCS' ' <br /> ADDTtS4$ -LImtm E . a<v� vd or LOW^ F icr977 Life 4vv LIP .:14c ge 11, errT�79C <br /> AGENCYIJAl� * ,• to <br /> ADDRH S ,'. ! :I 48L IJA rLeal <br /> asC 'q zon ' 9 0 ldLoraJ17i <br /> It <br /> s �effIf <br /> If;g <br /> m�,'f � ;N <br /> Ir fer <br /> FI I✓rrcY `fix z <br /> x � <br /> 'Ita <br /> LBAb Ata , <br /> [. .% - c .¢Y +f Lr ell X3'7 vr7E,Q.ILL _Irf� 'la If I Il <br /> ,y <br /> 4s 3� x <aEsy v .5M o �T ` �S T, CVs C¢ i u ILI <br /> ILL Ifi <br /> 1 +7VtR{ i�1�lE{1iI'AVREALTH pih . , u <br /> faa <br /> mar <br /> ti <br /> - �N +SV1k .bz KT xw ✓ ow m✓�i✓ C+w` � It <br /> �" -`=" <br /> Az <br /> . .�.�. <br /> Sr 'r-.3 iJ' r».e.Dy„�a ,1/. ST. Nxfort�✓' r ILJ <br /> z . <br /> firrI, ILL- <br /> ILL Z3 0 ✓ ez .arJ D .. s4 ,✓ eA4di� / co :�.wty k <br /> LI I <br /> I fee If <br /> � : l _, <br /> .... -< <br /> THIS NtYIICIi IS 'BIL $t.�l A.xl6 IM REQY7iRENt NIPS ID1,xiTlF p` I$Trr L{BLIC ; HEALTIi <br /> sERVLCES/ENVIRON "PA# lar <br /> iFI DIVISII�N (SID) PO UCY #92;1007, DR331NAA} E ODE OF SAN <br /> IOAQUIN„!`OUNTY, ,EHDbSS AND SERVICE` CKTAR +i'E- R£SOLL1tlONS STS WATER :COAL=. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE:' <br /> 1 . A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST , , <br /> 2 PUSUC FII.13WRECORDS REVIEW ARE BY APPOINTMENT ONLY . APPOiIVTTM ..' ARE <br /> ARRANGED BY CALLLNd (209)468-0340. OFPLCE' HOURS FOR APPODVTMEN75 ARB SCHBDUL%i <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, S:00 Aram, -TO 12:06YNOON ANW I&:OU_Pim, TO 4:30 <br /> P. M. . <br /> If <br /> ILL <br /> 3 . A PUBLIC RECORDS RELEASE APPI.ICA'hON AND A NONE DAAaLEm iP'OSTI OF smo <br /> TS REQUIRED. DEPOSITS WILL. BE RciL'ANED TO THE APPLICANT IF THE FILTSMECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> ILL <br /> 4. THE? .ABOVE IDENTTFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FIE$ REVIEW FEE <br /> CHARGE , THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE P�tIOR TO`REVIEWING THE <br /> DOCUMENT($). <br /> I , f-rei ILL <br /> It I <br /> S. PUBLIC FMES/RECORDS NOT R TURNEDIN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE ERD STAFF AT THE EXPENSE OF THE APPUCANT�S ADDMONAL <br /> SERVICE W l—ES .HILI�TOLTHE '�A} --ICA1V'�'°F()R FAY1v morIep°� ” '� � " , '. <br /> If <br /> 5• If <br /> OlUOINAL PUI.BLIC L'IIRS/RECORDS $HA I. NOT BE REMOVEL) FRO�L`11THE' ."PREMISES. <br /> air <br /> eE> Ir = <br /> SIGNATURE OF APPLICANT "�--f <br /> + '.I Ifa <br /> SIGNATURE OF RELEASING OFFICIAL <br /> It00 14 (REV 12/92) <br />