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M004M. CA Y3356 <br />A209)569 -039i C61412cL. <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISTON <br />PUBLIC RECORDS RELEASE APPLICATION <br />vs -Oyy <br />PHONE NO l""I <br />APPLICANT Witt D� ,ce.a _ A <br />ADDRESS Zfi37 <br />AGENCY NAME SSG PH�.��Hn <br />ADDRESS _ _ -- <br />aaif#iA#a It rwwwrria##iris#r#aaAA##+f iffi aaa a. tatafeirfi Ai AAAA.. ".. <br />FULL ADDRESS BI191NESS NAME:L FROCRJIM OR <br />FACTLT'fY T\'pF OF FL" <br />fi7,c STn.r�iA�.J e.Nu� `��9a1J M.wirl� �l v�"rlU"r.. <br />✓1GteL•'a 4.M rp�T ^(�iy,rlbnl'3 ��.Au- - <br />tai IASusr r-. I\ .J <br />t##r#rrarai rf a+La+i#i#♦aa ra aaiwwrrraafrrf aaAaA♦Ak#ait##+#+k4#iii# <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALIII <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY r94-007, ORDINANCE CODE OF <br />SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER COOL. <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN 1D PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILESIRECORD5 REVIEW IS BY APPOINTMENT ONLY. APPOINTMENT t; Alta= IAItOCESS <br />ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br />THRU FRIDAY EXCLUDING HOUDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br />3. A PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br />4. PUBLIC FILES/RECOHUS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TI IIS ADDITIONAL <br />SERVICE VIRLL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />.....................................................*............ <br />..... <br />SIGNATURE OF APPLICANT` n <br />((, Ve...A L. '� t .—DATE Z F7 <br />