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tlEIVED coo - ooh, <br /> SAN JOAQUIN COUNTY <br /> JAN 04 2000 ENVIRo zc HEALTH EALTU Dmsros <br /> ENVIHOI 1MENTAL H`ALTI-tQZLac RECORDS RELEA98 APPLICATION <br /> PES .1'& WQS� CY,r 2e 4 bass : PHONE NO Lk6s- 63 u <br /> ADDRESS _ `d a e _ <br /> AGENCY NAME PHONE NO <br /> AbDRESS <br /> i <br /> $'tikdtL Auuttt.ss �>tOGRAM OR <br /> I TT�_O F LE <br /> y K lV / -JWavc .arra t rbc 0:\ iv <br /> ' kn <br /> --j-- - - <br /> I <br /> i <br /> Th IS NOTICE IS SUBJECT TO THE SEC UIREMENTS IDENTIFIED IN THE PUBILIC HEALTH <br /> SERVICESIENVIRONMLNTAL HEALTH IVISION (EHD) POLICY #194-007. ORDINANCE CODE OF <br /> SPIN JOAQUIN COUNTY, EHD FEE ANC SERVICE CHARGE RESOLUTIONS, STATE WATER COOS, <br /> GQVERNMENT CODE AND THE EVIDEN CE CODE. <br /> 1.!A MAXIMUM OF TM=PREMISE ADDRESSES PER REQUEST <br /> I <br /> 2. PUBLIC FILESIRECORDS REVIEW 15 BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> Et BY CALLING (209)460-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, $:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILE51RECORDS RELEAS APPLICATION (PRAM IS REQUIRED: <br /> 4. PUBLIC FILEWRECORDS NOT RI;TU NED IN THE SAME CONDITION AS (RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT T E EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APP CANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5, I ORIGINAL PUBLIC FILES/RECORDS HALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> - i <br /> '. :p r.�.r...........re..•.•• r♦♦.r •a • •i.M.♦a••rrr....•w.........•..a........ <br /> SIGNATURE OF APPLICANT �OATE 3 aoo <br /> ATURE OF RELEASING OFFICIAL DATE <br /> '00;14 (R>rV 9/961 <br /> TOTAL. P.01 <br /> ^.4.. <br />