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-r1Ff9-579-2225 MODESTO ATC <br /> ?AGE 02 <br /> 33- <br /> SAN JOACUIN CCUNTY <br /> PUBLIC HEALTH SERVICSS <br /> ENVIRONKENTAL HEALTH DrJZSION FEB9 2000 <br /> PU9LYC RECORDS RELEASE APPLICATION <br /> APPIICANT ''[g�,,. L ��1<. w.�r. ��4T`4 VHONE NO <br /> AT,D7 gGS ' 7_._.�s Pa,t%m /,fur, <br /> AGWCt [ � PRONE t�r� <br /> AD0 RSS <br /> tlt}a,►�wM r��ara,r,r+.*�•r+y,rYdrwyi k9r#tint#Yr**#iet**k�F;3*t-rx#itlr#'k*tit*#i-xf# <br /> O <br /> FTJL& &AlaDgrgl3 IBrISirEESS yAmy E]DC1C�RaM f7f? <br /> ! FACI(,TTY 'HYPE OF FILE O <br /> i w <br /> f*�}1r�r i"R*#Wfil Y'RYWt air yrszz YY"R xi otic:*2r-or f t Al YA A ,rxx*+War tlr*tr Y irWW.Mww{t <br /> i <br /> THISINOTICE IS SUELIF- :i IV I Ilt KEQUIREMENTS MENTIF!ED IN THE PUBLIC HEALTH <br /> SERI{}CCS/ENVIRONIV ENTAL HEALTH DIVISION [EHO) POLICY 094-007, ORDINANCE CODE OF <br /> SAN'JOAQUIN COUNT`!, EHO FEE ANO 5t=HVIC:k CHARGE RE5CLUTION3. STATL`WATER Coot!, <br /> GCV614MENT CODE AMD THE EVIOENCE CODE. <br /> i. Ai N;A;CIMtJM OF 10 LM PREMISE ACORESSES PER REQUEST <br /> t <br /> 2. PUBLIC FILESlRECOfiOS AEV7EW IS BY App 01NTMENT III 'Y;'AFP0iNTM-ENTS ARE PROCESS- <br /> En SY CALLING 12091462-3420. OFFICE HOURStCR AP} OfNTMENTS ARE SCHtOULtU MONDAYTHA61 FRiOAY EXCLUDING HOLIDAYS, 8:00 Alva TQ }204 NOON AND }:00 TO 4,30 P <br /> 3. AJ PUBLIC FILESMECORDS RELEASE APPLICATION MRRAI Is REMA RIED. <br /> I <br /> 4. PPOLIC FILESIRECOROS Ne'r RETURNED IN THE SAME CONDITION AS RECEIVED WILL f3$ <br /> COIRTIECTE13 BY THE EHO STAFF AT THE EXPENSE Of THE APPLICANT. THIS ADDITIONAL FEB 102 <br /> SERVICE WILL OF BILLED TG THE APPLICANT FOR PAYMENT, ISEE E-IO POLICY 94- 0011 000 <br /> 5. TIGMAL FV61..IC Fif_ESMECORDS SHALL NOT BE REMOVED Ft CPA THE EHIO Pfirz lt5I=5. <br /> a•• •�afaaa raa.....•a......... ...... �..aa.�rt r�.�;• ►*tel �♦♦�s�7�.h... .r. <br /> SIGN6TURE OF; APPLICANT <br /> SIGTURF CF)RELEASING OFFICIAL 9!981 —DATE <br /> EH Op 14.(REV 9!981 <br /> TnTAI P.Gtr <br />