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DEC- 19-95 TUE 14 : 24 SAN JOAQUIN VALLEY APCD FAX N0, 209 545 8652 P, 02/02 <br /> I SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION! CONTROL DISTRICT <br /> PUBLIC RECORD RELEASE REQUEST <br /> ( Please fill out a separate form far each company) <br /> REQUESTING AGENCY : Q 30642oW Loo & \4 �RJA 1m <br /> CONTACT NAME : R.0 3 N(,Nk*) _ 12,64-UG PHONE NO : ZeOA <br /> ADDRE55 :_ <br /> COMPANY NAMEd l, hC / 1p� lt�J ��N 11�C1PtUM 11� � 0j � <br /> PREMISE ADDRESS: (47.�Cl _ P (VIC C� S10C>LikbrJ CA <br /> PrmRMIT NUMBERM : ) bYl - 1 - 0 AIZ . <br /> ITEM ($ ) REQUESTED :, i Lft2-�,lrc�,-tLfti i2"i to m4 nfih y rrej ixi t, [yk <br /> Yi� O i� �h DN �7�i� � A�C � � ,k •,�tul!W sys „_ r9P�ll ���S <br /> PURPOSE OF REQUEST:_ Pt,irtnc� I I�J7( tL) Pe (1uUL iAl I R1 l�t� l�.,. X10 <br /> tZ �L I VYI tTt ( �{F11 t W � C t" F" <br /> Signature : DATE :, 12aS <br /> SAN JOAOUIN VALLEY UNIFIED AIR POLLUTION CONTROL DISTRICT USE ONLY <br /> SIGNATURE OF <br /> RELEASING OFFICIAL: DATE:_ . <br /> SIGNATURE OF STAFF MEMBERS INVOLVED IN THE RELEASE OF RECORDS: <br /> i 4230 Kiernan Avenue, Suits 130 0 Modesto, GA 0 95356 6 Phone 1249) 545-7000 ! Fax 1209) 5454652 <br />