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i O�j ue: yup Environmental branch 209-948-7782 <br /> P. 3 <br /> 0e-27-1999 10:09AM FROM TO `... 94B-,782 P.02 <br /> Z o Z <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SSRVICES <br /> SNVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT .$rn �a,+1 PHONE NO <br /> ADDRESS <br /> AGENCY NAME (�- ,�! PHONE NO to _ o <br /> ADDRESS <br /> ix*it*itifiititiai#attatfaitra++*ix*tats*txxiii+xitx#+t+ftYrt rt+x <br /> FULL ADDRESS MMTNESS NAME/ PROGRAM OR <br /> ,,,/, FACILj'ITQY,, TYPE OF FTLE <br /> r�� N`953ZtT - D �==� us-r uf� <br /> N;34Ur/ 120 <br /> IJGY <br /> 7) Izo <br /> 9�1�� 441 ysak _9781 — '� UST tU,C'I' <br /> i+t:ti++a++++xxiati*ixix+ttti++raar+•r:exixaiixa+itt+t+++++xaxtra <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHO) POLICY N94-007, 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, AMAXIMUM OFTEN !0 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY 6"OWTMENT ONLY <br /> S ARE PROCESS- <br /> ED BY CALLING (209µ6834Z0, 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 FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 8Y THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE END POLICY 94.007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ..................................... <br /> SIGNATURE OF APPLICANT <br /> DgTE 8 31 <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EN 00 14 (REV 9198) DATE <br /> TOTAL P.@2 <br />