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❑ 19193641BB9 P.BS <br /> to- <br /> 1019 Y <br /> . 9 <br /> 0 91999 <br /> COiINTY_ VIRONMENTAL HEALTH <br /> ,_ <br /> PUBLIC MEALTH SERVICES PER10*/ SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELRASH APPLICATION <br /> .. 1w 72,QvcN'�Cv(aati.e <br /> APPLICANT `]ECOSi Swt 'fti`w�Yiu+-m�� � PHONB NO 9(b 364-IBS } zz3 <br /> ADDRESS 9912 S3�s:wss Pna.k Clriue 1�5�„{__(_O�o• 5ncra,yno- ci <br /> AGENCY NAME NA PHOISE NO Ahq -� <br /> ADDRESS <br /> �a Como- w-"L X10 9 9 <br /> FULL ADDRESS USINHSS NAM&/ PROGRAM OR <br /> FACILITY TYPE OF PITH <br /> 6a► E..a LxJcc ' + � c i4or�e c tom P.o�.�y L-vsT <br /> Lodi, CA Forvie� Ai nsoH Ctnc i.r.1�rH �Jn.>� <br /> (08? Fsa Zak,64 It Cc IJoxl Pronerka Vo ST <br /> 1-be , (. <br /> 68L Ensi to U4 d Ckwcc L wdua Po v LUST <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 594-007, 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 JIM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY,APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. 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 FILESIRECORDS RELEASE APPLICATION IPRRAI 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 HE BILLED TO THE APPLICANT FOR PAYMENT. (SE4 EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES_ <br /> f fa..aaaaaf.a.♦awaaa wr aaf eaa. _ / .aaa+aww r..aaf.a a.r.of♦af�a♦f e.fi..wf <br /> SIGNATURE OF APPLICANT (J}32e PATE y/9I <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 8196) FAX (209) 464-0138 <br />