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E11 VU 14 (REV 5194) SAN JOAQUIN COUN I Y <br /> PUBLIC IILAL'I'll SERVICES <br /> - � - EWRONMEN'I'AL HEALTH ALTH DIVISION <br /> PUBLIC R a CORllS RLLLAS i APPLICA`T'ION <br /> APPLICANT Ilk M ""MPoul€s PHONE NO <br /> ADDRESS l 6 -r l;,dry 64 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LLAD AGENCY, DATL <br /> VIIS NOTICE Is SUBJECT TO THE REQUIR8MENTS IDENTIFIED IN THE PUBLIC I-113ALT11 <br /> SERVICES/ENVIRONMENi'ALIIEALTII DIVISION (E11D) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, Ellb FEES AND SERVICE CHARGE R13SOLUTIONS, STATE, WATER CODE., <br /> GOVERNMENT CODE AND THE I3VIDENCE CODE. <br /> 1. A MAXIMUM OP TEN (10) PREMIsB Amnassna PCR ItCQurs-r. <br /> 2. PunuC FILES/RECORDS REVIEW Is 11Y APPOINTMENT ONLY. APPoi MENTS ARI; ARPANOED BY <br /> CALLING (209)468-0340. Orr•Icu IIOURs FOR APPOINTMENTS ARB scI1EDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING IIOLIDAYS, 8:00 AM •1•o 12:00 NOON AND 1:00 PM To 4:30 W. <br /> J. A PUULIC RLCORD9 RCLBASn APPLIcATioN (PRRA) Is REQUIRED. <br /> 4. Punuc FILLS/RECORDS Not RrruRNCD M 1-116 SAME coNDrrloN As mcnivED WILL 1111 CORRCcr1:D <br /> nY Tim MID STAnP AT TIIB EXPENSE OP T1111 APPLICANT. 'rills ADDITIONAL sBRvICB WILL 1111 BILLED TO TIIB <br /> APPLICANT POR PAYMENT. (SEB EIID POLICY 94-007) <br /> 5. ORIOINAL PUBLIC TILES/ ICOR N r 1111 FROM Tim END PREMISES. <br /> SIGNATURE OP APPLICANT DATE <br /> SIGNATURE Or RELPASING OPFIC1AL DA'Z'E <br /> No MIS/EIID REcons/FILES ARB IDENTIFIED: <br /> DAIT: Rmff"O®Tt RanKCAVOM DATTt <br /> PIIS/1111D RECORDS/FILES EXIST ON TIM Al)vass(Es) NOTED. YOU WILL nig NOTIFIED WIZEN <br /> ItrxOPLIM/FiLEs ARE AvAILAnLE POO REv1EW: <br /> DATT: Rlmllwon!Tt Hmme ntM hATTt <br />