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Ell 00 14 (REV 5/94) SAN JOAQUIN COUNTY <br />PUBLIC IIEALTII SERVICES <br />N <br />ENVIRONMEMIAL IILALTII DIVISIO <br />PUBLIC RECORDS ItELEASE APPLICATION ��>L <br />APPLICANT �IP ��%�7� Igr1 PHONE 'U <br />ADDRESS dog, <br />AGENCY NAME 2 G, r S 6C /u f PI}pNH NO <br />ADDRESS Z (S L.LJ oq$n ti <br />FILE AppRFsSS <br />+/zYn Cj�re <br />yup �h <br />o$ Ito <br />lic(I( <br />(3o Af Non 1.9" <br />LUAD AUEN <br />DA -M <br />C.OlP <br />7'yJ -Joy <br />r H a Gi1�-. <br />�•-.7�t Y <br />jar"(, i, r Gn 40 ^z U c r <br />I <br />I <br />I <br />'PHIS NO'nCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN 1-116 PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY N94-007, ORDINANCE CODE IJP SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE wATER'''CODE. <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN (10) MEMLS6 ADDRESSES PER WUHST. , <br />I I <br />2. Pu6uc FILESIRECORDS REVIEW Is DY i1PPOlNTM T ONLY. APPOINTMENTS ARE ARRAJO6D BY <br />CALLING (209)468-0540. OFFICE IfOORB FOR APPOINTMENTS ARR SCIIEDULW MONDAY THRUITRIDAY <br />EXCLUDING HOLIDAYS, 8:00 AM TO 12:OU NOON AND 1:00 PM TO 4:30 PAL <br />3_ A I'OBUC R6CORDs Rm"s6 APPLICATION (PARA) LS R6QUIRBD_ <br />4. PUBLIC FILES/RECORDS NOT RETURN60 IN 7II6 $AMR CONDITION As RECEIV6O wRI L B% CORRECTED <br />BY THE MID STAFF AT THD rXPEN36 OF THE APPLICANT. T11I3 ADDITIONAL SERVICE WILL BE DULLED -TO PSE <br />APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br />5. ORIOINAL PUDLIC FIIES/RECORDS s11ALL NOT BE REMOVED FROM THE HHD PREM158$. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFICIAL _ <br />NO PNS/EHD REcORDS/FILES ARE IDENTIFIED: <br />D.. - w on wivrw.Kw. U+m <br />DATE <br />DATE <br />PHS/EHD RWORDWFILES ExisT ON TND ADDRF3s(Gs) NOTED. YOU WILL BC NOTIFIED WI1� <br />RECORD.C(FII.FS ARE AVAILABLE FOR REVIEW:K'^� �� <br />