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'. -1 .;.:.� Joao __. nni novaco-UI IIC6 - <br /> 14153821056 P.02 _ <br /> �-..\ 0&-22-1998- 11-57PM EM TD <br /> ' -- --- - --- <br /> TE <br /> SAN TOAQLTIN COUNTY <br /> PUBLIC FEALTH SSKVICES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> PUBLIC RECORDS RELiASS APPLICATION <br /> PLICANT E�nl -oWif lfiL asay-n oto, PHONE NO 15 3$Z—S`I9 <br /> DRESS. D1G1T-AL D(2 SU1TE (o A(n`/ + GA <br /> A A+4'-j9 <br /> ENCY NAME PHONE NO <br /> DRESS' <br /> laus <br /> i tt*:Yt.}tttYt*#*2YtYt#***#****ttt*Ott*tttt**#}ittY#Y#+Yi}t}ttt*Yt <br /> ILITY AANSS/ PROGRAM 2R <br /> FACILITY TYPE CF FILE _ <br /> or (, ST—a' o � <br /> Avg <br /> u� fu ionn�xl <br /> — <br /> a <br /> IG VS 190E SSAC <br /> �X74 qL lIj1C,,VL� <br /> + 3C)}#34=I4 YIc Alf Y}*Y int iNP *}AiQ LJiii <br /> f.0$ N• I°�'RS1-frnl(- (�E2SFFrNG cfFEURaN <br /> S NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> S VICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 794-007, ORDINANCE CODE OF <br /> S N JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> G VER14MENT CODE AND THE EVIDENCE CODE. <br /> I A MAXIMUM OF TEN Su PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY,APPOINTMENTS ARE PROCESS- <br /> EDI BY CALLING I209Y188.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THpI U FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12200 NOON AND 1:00 TO 4:30 PM. <br /> 3. IA PUBLIC FILES)RECORDS RELEASE APPLICATION (PRRA7 16 REQUIRED. <br /> 4. 1 PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> C RRECTEb BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SE VICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94 007) <br /> 5. ORIGINAL PUBLIC RLESIRECORDS SHALL NOT BE.REMOVED FROM THE EHD PREMISES. <br /> l..i i i i i i.. •1!i ii'ILLLLV iiiiii•...a i i.•.a i i t.....i i ii <br /> SlgNATURE OF APPUCAN q.� 13DATE <br /> SIGNATURE OF RELEASING OFFICI DATE VC -I Gv <br /> 1!4 (REV 9196) <br /> I � <br />