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www I�r.` <br /> OG-27-1999 10:09PM h TO 9<7877B�-P:02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> RNVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT -Be,] PHONE NO. y <br /> K.9 <br /> ADDRESS <br /> AGENCY NAME GM.'fRhals PHONE NO Log -roo <br /> ADDRESS j9 �h+_w �,r 7yUG�ka.y Lk 9SZ o-� <br /> }}tt}}}tf ttt##}#tt++iii#++it+tt}thitt}}}}trt#ti#kt+ttit#ttt}tfrt} <br /> FULL ADDRESS BUSINESS NAM PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> To <br /> -.n <br /> 12o /�fn�x.�,SfaC. U6T�i�UFT' <br /> Rim l4� �s74Z <br /> i <br /> z) z5077 P- N:`Wti,/ Izo �ai�, AL/' f 4V4,- c <br /> �1 21015 �. Nnr, w Izo — y4r&Jrr <br /> Esc:a.lay� 6A �S3 Z� <br /> 4) 7-2E_13 e. +1 yra,y�lLo 113? LU f <br /> / ZS,.alMl Lq X53 aC <br /> #tt+ttr�++taif}trttrtttt+#ttti+e}a*ttrittfireiia#tf++ittitr•}ttt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN 170) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBUC FILES/RECORDS REVIEW IS 6Y APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)468-3420. OFFICE HOURS FOR 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 FILESlRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPUCANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBUC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ....................... ... ............................................ <br /> SIGNATURE OF APPLICANT �� DATE 131:21 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 91961 <br /> TOTAL P.02 <br />