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� RANEY GEOTECHNICAL T_EL :916-371-1809 it0c0 3.0 '95 8 : 10 No .001 P .02 <br /> iF - <br /> u uu 1.1 Utz.Y 51SAN JOA.QUIN CUUN'I'Y ( � <br /> _ VUBLIC I1EAL'I'II SERVICES h pruto 5 w • <br /> YIRUNN110TAL 1IJ!:.U;I'li !NASION -4 <br /> PUBLIC.RFCQIWS RELEASE APPLICATION <br /> ADDRESS <br /> AGEI4CY NAI JE PIIUNh NO <br /> ADDRFSS <br /> FILE AV-122E 5 LEAD.AgEtKY f LIBlk# <br /> f.Gf n� f r/t'. 4 /-S pas f <br /> /ted �A « - - -- c� t, a ', ozi A 56"ZZ, <br /> Chezg! - �� f Si 1 c r'Irs C7?:/.f_ 02 <br /> THIS M0110E IS SUIIJECC TO THE REQUIREMEM MEN M ED IN TIE PUBLIC HEAL'T'H <br /> SERY96ES/ENYMONMEN'lAL141=AUl-H DIA8710N(EMVJ rJU(;Y#Y4-'A" UJUN VANU:+CURE OF SAN <br /> JOr QUiN COUNTY. URI) Fm AND SEiLVIG& CI•IARai3 R13SOLUTI©PIS, STATS WAim cote, <br /> GOVig M �CODE AND THE EVIDENCE CODS. { <br /> 1. A MAt*.mllbi ov Tm4 (10)PREM SE ADDiiMO PER REQUEST. <br /> Z, l'usuc F1I.s;5li ECORDS REVIEW IS BY APPOINTMFNTON �. APR7iKmEN'i'S AR&ARRANcrD sT <br /> CALLING (209)468-0340. QMCS HOURS PGR APMMIMkKY3'AR6 "IMUUM MONDAY 'tit o PRIDAY <br /> } EXCLUDING HOLIDAYS, 8s00 AN TO 12.00 Noah Alda 1:00 Rf'To 4:30 PM. <br /> 3. A PUELIC A=opDs R& Loan AI'I'I cArioN (PARA)IS s<r,QUWID. <br /> 4_ PUBLIC FILENR~CORM HOT ItE'TURHED IN THE SAM 13 CO--K7N A9 RI;cmvrD wiLL $R cDRaccrFD <br /> RY -'Ffr,;l`HIl XTAFi+AT TRB EJfpW%v nF THE AFMwArrr. TWa Ar.DRiONAL 91MV201 IL'1LL RR 3G.Lap To-nix <br /> r <br /> APFUCA.14T FOR PAYMENT. (SEE EM POLICY 94 1') <br /> 5. ;OitlOWAL PVBLCC FILESMCORDS SHALL HOT 8rs kWoViSo FRIM-M5 SI3D MEWISM. <br /> SIGNAWRIS OF APPUCANT " DATE <br /> SIUNATURE OF RELEAS1NO OFFICIAL ;t � DATM <br /> NO PHStM4D RECOPMVPILEt AR$ IDFMjF-U D' <br /> DAM 7.w•!� <br /> 1 <br /> WEND RECossM!rtt=IMIST ON T1113 ADMESS(E9)NOSED. YV%j WLL.BB M'AFJSp 7ryHM ; <br /> PLECINWIMFILES AXS;AVAiLOLK FOR REVIEW: i <br /> Mimi km ftft z <br /> 7. <br /> R } 1 <br />