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GEO-PHASE EVIRC ''•'� c29S •��ff /J / FtiT2 <br /> FR01i <br /> _ _ SN JOAQUIN COUNTY <br /> PUF7LIC HEALTR .SERVICES <br /> ENVIRONMENTAL 11EAI.T11 D.-VISION <br /> PUBLIC RECORDS RELEASE AFPLICA'F':iON <br /> —PRONE NO� <br /> APPLICANT— <br /> ADDRESS �-c _- PfFONE NO —_ <br /> AGFiNCY NAME - <br /> ADDRESS <br /> }#♦ ## f #tt #}#+Ytt•##ktd# ##t'#f tttttt*#t ti t+f kt ##f#ttt 4*4### 4t# k4 '# # 14 <br /> V.K_QgRAM- OR a <br /> EU]aL A ra A TYg F <br /> 'J <br /> %rlacr �Y dLfP CI wyry -- - <br /> ###a##tM ti#tilt# i # t t t <br /> #4t t #t <br /> THIS NOTICE 15 SUBJECT IO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> ICESIENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 994.007. ORDINANCE CODE OF <br /> SSAN JOAQUIN COUNTY, EHFEE AND SERVC <br /> ERV T149 EVIDENCE COI <br /> GOVERNMENT CODE AND TDE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> I. A MAXIMUM OF L 11W PREMISE ADDRESSES PER REQUE51 <br /> 4 M&MT ONLY. APPOINTMENTS ARE PROCE55- <br /> 2• PUBUC FILESIRECORD5 REVIEW IS BY APPOINT <br /> 3OFFICE R <br /> ED BY CALLING RE SCHEDULED <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8 00 AM TO 12:00 NOON EAND <br /> NTS1:00 TO 4:30 PM(vIONUA'( <br /> 3. A PUBUC FILES/RECORDS RELL'ASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED 'HILI_ RF <br /> E OF THE <br /> SERVICE WILL BE BILLED TO THEA APPLICAEXPNT OSR PAYMENT- <br /> Iscc <br /> CND Ol CY 9T. THIS O' 0071 TIONAI. <br /> 5, ORIGINAL PUBLIC FILES/RECORDS SHALL NOT Be REMOVED FROM -I HE EHO PREMISES. <br /> . <br /> ............. <br /> �... ., . . .... . . <br /> DATE <br /> SIGNATURE OF APPLICANT _. <br /> _ DATE _-.. <br /> SIGNATVRE OP RELEASING OFFICIAL - <br /> EII 00 14 IREV 91961 <br />