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cl)J)� <br /> 97 ia9 <br /> SAN JOAQUINN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL IILiALTH DIVISION <br /> PUDLIC RECORDS RELEASE APPLICATIC14 <br /> n , EisENCi E/Zf� <br /> PHONE No `of 5'5 <br /> AFFLICANT,_, <br /> I ADDRfi55 oZz _ pHONH NU <br /> i AC(F,I7CY. NAMfi <br /> ADDRESS <br /> I <br /> BUSINESS NAMEZ. PROGRAM OR <br /> � fir AT'll�$ 'r TYP& OF FILE <br /> i 9H 'y' LA,J <br /> �Q �ia,Pt,_,- o1-KYV ALL <br /> I ➢gri3� <br /> GA17aReP LR --- <br /> i I <br /> i <br /> i <br /> ' I I <br /> i <br /> itM15 NOTICE. IS SUR IECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION 1EHDI POLICY #94-0()7, ORDINANCE CODE OF <br /> SAN JdAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVMNMENT CODE AND THE EVIDENCE CODE. <br /> I <br /> 1 .1 A PdAXiMUM OF TES�4_I PREMISE ADDRESSES PER REOUEST <br /> 1 2,; PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)883420: OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THAU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3.! A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REOVIRED. <br /> i 4 1 PLJ�IC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION A5 RECEIVED WILL BE <br /> St`RV� <br /> CORRECTED <br /> BE BILLED TO THE APPLICANT FOR PAYMENTP SEE EHD POLICY 94r EXPENSE OF THE APLICANT- THIS T0071AL <br /> I ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 5. ..,.... <br /> .+i....•...•...•••.•.•.•• • / ATE�2 � 7 <br /> SIGN <br /> f ATURE OF APPLICANT vU <br /> SIGry ATURE OF RELEASING OFFICIAL_ <br /> f L / DATE_—. <br /> EH (l0 14 (REV 9/961 <br /> II <br /> rnrFt r.o2 <br />