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� ' <br /> - <br /> i <br /> SAN JOAQUIN COUNW <br /> PUBLIC HEALTH SRIZVI':E3 <br /> ENVIPONMRNTAL &EPLLTH DIVISION <br /> PUBLIC RECORDS APS,SASB APPLICATION ' <br /> APPLTCArrr Mn L 11R> vJR� MONS NO <br /> ADDRESS '1 ?-.o U Cc`.2.(PAy O Q:v E a 66 TO <br /> AGENCY PRONE NOAdj. S72 obi/ •S�Y-46S3 <br /> i <br /> ADnuRss rya ocL�e � Da rnrA�To C.,�.:..__ <br /> FTILL ADM-Mss 3139 SS NAME/ � dR <br /> FACILITY I,�PE OF FILE <br /> I <br /> ?nl,00 SoaTl4 cU22AL Co2kAL lloua`I 2,000 <br /> 1�01_(pw rl¢�eK Ti tn.�ilG T"f4-lr 2t k- <br /> I — <br /> I <br /> i <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMEYTS IDENTIFIED IN THE PUPAIC HEALTH <br /> SERVIC£S/ENVIRONmFNTALHEALTH Dl\,ISICIN (EHO) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS,.STATE WATER CODE, <br /> GOYERNMENT CODE AND THE EVIDENCE CODE. <br /> i <br /> 1. A MAXIMUM OF TEFL 1101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUWC FILESRECORDS REVIEW IS BY APPOINTMENT ONLY- APPOINTMENTS ARE PROCESS <br /> ED BY CALLING 12MA6834zm OFFICE HOURS FOR APPOINT16104TS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 9;00 AM TO 12:00 NOON AND 1:00 TO 4:30 PFA. <br /> 3. A PUBLIC FJLESIREC=URDS RELEASE APPLICATION IPRRAT IS REQUIRH)- <br /> 4. PUBUC FILESIREMR13S NOT RETURNED IN THE SAME CONDfT1ON AS RECEIVED WILL BE <br /> i CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> ! SERVICE WILL BE BILLED TO T11E APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 0071 <br /> i <br /> 5- ORIGINAL PUBLIC FlIJ:SIRECOROS SHALL NOT BE REMOVED FROM THE EHO PREMISES. <br /> ..-.r..............................................-........................ <br /> SIGNATURE OF APPUCANT. l&%< C• DATE <br /> i SIGNATURE OF RELEASING 0 VtIATE <br /> EH 00 14 IREV 3!981 <br /> i <br /> ! TaiFL P.P.P.. <br /> P.02 <br /> 10-7�-19L+6 00:32R I <br /> i <br /> TOTAL P.01 <br />