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t0-31-1997 439:3CJT1�RIX1J 1� 14153912008 P.A2 <br /> I <br /> SAN JOAQOIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNVIRONtO?NTA.L HBALTN DI'VTSION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP> ICANT —__ -PHONE NO <br /> ADDR1�ESS ^• SE LA^ <br /> AG1ttrCY NAME _PHONE NO <br /> A011 f H99 <br /> +aa1##ata}i*xiti * ti# aa+t; *iia#a#}iiai}#}a#}}#tt##♦ttx#}taa#+## }t# <br /> QUSINaaa IIIAME- pgOGAAM OR <br /> PA rr rmvQB OF FILE <br /> WPOff1 >670rJ -S .T QiJer6,J4 Cv..,,�T ca- IrI^^1 A�11 tkz /an/k }y <br /> I �E ,oM1 n41.41V V !l(I <br /> �a /Jn,� ,Sfntt,•lc <br /> ��i �UPF^1T /�a} Uk Tillnz_O: CunJ'� /bl � , <br /> IF 6_C&/AnAr <br /> I <br /> #x#t.a.i#+}+#}#i#att#iii+aka ; t*i# af*k#tt#iit * tics taai a#}xx+*+#+xii# <br /> THIS NOTICE !S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER ICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY 094.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATI? WATER CODE, <br /> GOV RNMENT CUDE AND THE EVIOFNCE CODE. <br /> 1. i3 <br /> I MAXIMUM OF TW Q1 PREMISE ADDRESSES PFR REQUEST <br /> i 2. PUBLIC HLESiMECORDS REVIEW IS RY AEpQmjMFNT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED MY CALLING (209)486.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCI-IEOULFD MONDAY <br /> THRI FRIDAY EXCLUDING HOLIDAYS, 6:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. r . <br /> 3. 4 PUBLIC FELES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4_ P BLIC FILESIRECORDS NOT RETURNED !N THE SAME CONDITION AS RECEIVED WILL BE <br /> COR ECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERr ICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE ENO POLICY 94- 0071 <br /> 5. +IGtNAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ........ ....... ...7�y..»..._... .... ., � ..... <br /> SIG ATURE OF APPLICANT 1 _�Jr�. .✓ `�'DATE d <br /> SIG ATURE OF RELEASING OFFICIA J ��OATE III W <br /> EH 0 14 (REV 91961 <br />