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SAN JOAQUIN COUNTY ,,t 7.. <br /> G\)pAaz <br /> PUBLIC HEALTH. SERVICES , ;z mil . <br /> ENVIRONMENTAL HEALTH DIVISION Y°:.';.'r <br /> PUBLIC RECORDS RELEASE APPLICATION' r <br /> f � <br /> APPLICANT /9TNy /' FED PHONE NO f(9/��Slo¢ZZOCY <br /> ADDRESS /Z3I ::INCE 6f. <br /> AGENCY NAME gtef40itr! t15�C. - _PHONE NO <br /> ADDRESS <br /> ti- <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> .302 Wes'T k/ew (ASST klwDguFp / , ocewo <br /> 44 WEBew-N I� Tri Alkor-tiousE ✓ <br /> 40Z WEST WEBt7z ''; �T _ C ji� ; MNS�N7 <br /> 44B/�v� ei.G /�3�LI I'F Porn��n✓ ,g �iC�7vPiUCsx/�A6Pk/�Y <br /> 003 0,!-X)"774 <br /> U✓CD�� 1 EDWAe� PT j <br /> 333 77/4E&kR67 GEVEZ= _- 6/gTE2F,ea r "ACRT-'lob2Q') <br /> ZO6- Al, 4EN7-E4 '�.- �,l /ydo f <br /> 9'05 4. 1 W< T C. &,x/.c/ fh�TO.. ?diGP' <br /> 24 4/ /✓bv fiueEn/U CffA'� ff/et/.CdLET <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, 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 OF TEN 10 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)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 FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS 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 APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 9 . <br /> L <br /> aaaaareaaaaarlaraaraaalaa ara ra as •f •r saasraiafiaiasiiarss aii!ll iir!!i <br /> SIGNATURE OF APPLICANT DATE 3 2S cJ <br /> q _ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />