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"'/ hate 2 ' 1>r<0�► / <br /> � Pos14'Fax Note �w 7671 _ .. <br /> Ib From G4TWIY'RS� <br /> Cpl, co. "BAT- -1 f A-,66G. <br /> Frlon r � <br /> 4 r- Phony x�9/G) '`f'Z7 � <br /> Fay r <br /> SAN JOAOU: <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION 7 O <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT _ 'YC4 —,---- <br /> PHONE NO 9/70 "7a4 -ZZOU <br /> ADDRESS /23 _ '^M " ''rle PHONE NO <br /> AGENCY NAM6__K2,a—n `j'-__4 tnr <br /> ADDR F.G S <br /> •xrxwwxrwt#wtwx+tttt at***#*wt#tax#ax#tt#*rt#*at rt##w#wsrt#wta*+## <br /> BUSINESSNF�7� PROGRAM OR <br /> NULL ADORSSS T11PS OF FILE <br /> }}�� FACILITY - <br /> �h� <br /> /90 iYla� ffxns,. .tear R1J 4 mol sieh►17 <br /> fix`--- oLslG r^c-'�^r` YfNe/J <br /> S_�F L NC r 'f Y <br /> AlIff -nrslcv Fi�tY=rr7etr �,�o. <br /> rrY <br /> �Egpxl)!�5 —po <br /> ! CA5Wr T' <br /> ak . ttili4 kkx R# Y4w*##*#t#tt#w+Yi aia#*kik{*wRw #tw#watat*##* <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SFRVICFS/ENVIRONMFNTAL HEALTH DIVISION (EHD) POLICY 094-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 , A MAXIMUM OF TEN 10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS rOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RF_CURDS RELEASE APPLICATION (PRRA) IS RBOUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE FHD STAFF AT THE EXPENSE OF "I HE APPLICANT. THIS ADOITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE FHO POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHO PREMISES. <br /> ;� �................ ............. <br /> SIGNATURE OF APPLICANT UAIE_'�2�j-GI� <br /> SIGNALIJHE ODATEF HELEASIPIG OFFICIAL _ <br /> EH 00 14 (REV 9196) <br /> TOTEM- F.01 <br />