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i 0 <br /> CEIVED 99- 159 <br /> JUN 2 51999 <br /> )1VIRONME 9ERVTAL HCESTH SAN soAQQIN COUNTY <br /> pERMfT PUBLIC HEALTH SERVICES <br /> ENVIRONMBNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT b a '�..iFl PBONS NO`;~IV, G43 •-iso/ <br /> ADDRE$$ O15.eX fo Z:, r:+c.zs .. 55 D <br /> IIGENCY 'NAM$ PHONE NO <br /> ADDRESS <br /> f awwa tr.aa*rfiafai►♦rfa*frac*rrr♦♦tra a♦tr.aaLa♦ata♦afr!♦*irtrrr♦♦f <br /> FULL 'ADDRESS BUSINESS NAME/ pAOGRAM OR <br /> FACILITY TYPE OF FILE . <br /> 'fiaaa%aaaal raaiila*6raf iaa*aa*Ia♦*aaaa.rara*raa Alrkaf*::*af arra.aaa <br /> `THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC.HEALTH <br /> 'SFRVI"S/ENV)RONMENTAL•HEACI11 61VISION IEHD) POLICY /94.07. ORDINANCE CODE-OF <br /> `SAN JgAUU1N COUNTY; EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> L'A lyfAXHAUM OF TF1 hoj PftEMfSE ADDRESSES PER REQUEST <br /> 2'.,.PUBLIC TR.ESh1ECOROS REVIEW IS BYl1PFOINTMENT ONLY: APPOINTMENTS ARE PROCESS:. <br /> ED BY: GALLING(2091468,3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOUDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4�90 PM. <br /> 3- A.PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4, PUBLIC FILESIRECORDSNOT RETURNED N THE SAME CONDITION AS RECEIVED WILL BE . <br /> CORPE&C-15 BY THE L'HD STAFF AT THE'FXPENSE OF THE.APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-0071 <br /> 5. ORIGINALPUBLIC FILE5IRECURDS SHALL.NOT BE REMOVED FROM:THE ENO PREMISES.' . <br /> .....................a..a. ... t ........•.............................. <br /> SIGNATURF.OF APPLICANT 'PATE ?- gS <br /> SIGNATURE OF RELEASING OFFICIAL DATE - <br /> EH 00 14(REV 9196) <br /> � TOTAL P.02 : <br /> AAT7 •r naguolm a1Gb :7D F'6 SZ unr <br />