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1 q q (762 , <br /> Ell UU 14 (REV 5194) SAN JUAQUIN COUN'T'Y <br /> PUBLICHEALTHSI;ItVIC1+S �.r dl36 <br /> All411"NVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC R.ECOIWS RELEASE APPLICATION 69'/ �G�) <br /> APPLICANT <�e/7 Ael, PHONE NO �5fW) 0'31 3,2 S� <br /> ADDRESS 3007 . ALAmD T�s— �- <br /> AGENCY NAME ; PHONE O <br /> ADDRESS <br /> .3sc2 �. <br /> FILE ADDRNC <br /> ESS LAD AGEY7 DA"TH <br /> CLio� � �— <br /> Ccs <br /> /a ys-<1ch 4p�� W i <br /> 47 liv <br /> 3 <br /> ' "s0i) <br /> TIIIS NOTICE IS SUBJECT TO THE REQUIRtMENTS IDENTIFIED IN THE PUBLIC HEALTII <br /> SERVICES/ENVIRONMEN'T'AL IIEALTH 01 VISION (EI ID) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICH CHARGE RESOLU'T'IONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND T14E 13VIDENCE CODE. <br /> 1. A MAXIMUM Or TEN (10) PREMise ADDRESSES PER kEQUES•r. ` <br /> i <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARG ARRANGED BY <br /> CALLING (209)468-0340. Orrice IIOURs POR APPOINTMENTS ARG SCIICDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM to 12:00 NOON AND I:00 PM To 4:30 OM. <br /> 3. A PUBLIC RECORDS RELEASs APPLIcxrtoN (PRRA) is REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT mrURNED IN TIIH SAME CONDITION AS RECEIVED WILL BG CORRfCI•IiD <br /> BY TnE 1:1 113 s-rAFr AT TIIG EXPENSE Or TIIG APPLICANT. THIS ADDITIONAL SERVICE WILL BG BILLED TO T1113 <br /> APPLICANr POR PAYMENT. (SEG EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NO•r BG REMOVED FROM TIIG EMD PRE•MISEs. <br /> SIGNATURE OF APPLICANT / DATE ll — <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PIIS/El ID RECORDS/FILES ARG 1DENTir•IED: <br /> fIAIe: RNllewen bll NOMICATOM OArel <br /> PIIS/EIID RECORDS/FILES EXIST ON TILE ADDRESS(ES) NOTED. YOU WILL BE NOTII IED WHEN <br /> RECORIIS/FILES ARE AVAILABLE P'OIt REVIEW: <br /> DAM /�/ RIMWAen all /} µmF1rA7n(*i WAIN: <br />