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TO 141S33i4410 P.01 <br /> 51-94-1997 04:55R11 FRO% <br /> r � bo o �3S <br /> P�PASe Wi 1� 0,rort. <br /> AN JOAQUIN COUN' <br /> PUBLIC HEPI,TH SERVICES <br /> ENVIRONMENTAL IMALTH DIVISION <br /> pIIBLIC RECORDS RBLEASE APPLICATION <br /> PHONE i'io '�1S `i31 4414 <br /> APPLICANT X11. VllV" o_LA�'iS �TZ1=� �.IS ;31-3011 <br /> ADDRESS O S r p_()NH NO <br /> AGS NCY NAI-M <br /> ADDRESS__ _ <br /> rYY.e1,r:#art*+*+,t+xsx•�r++*•:zx#z#*+'*Y"*++**+ t**•ict*+x#* t'kYx+t*+t'*tYYt <br /> �TrcTr;� S NAME! P40GRF QR <br /> PULLS S x•ACILITY TVDs_�(}F^ FZLE <br /> `I dfc N. E `dare le Sr_$>r 213cUS��� L>ZST <br /> ry eS <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUEL(C HEALTH <br /> SERVICES/ENVIRONMENTAL HEAL7" <br /> DIVISION (END) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE MATER CObE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FI <br /> LES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED 13Y 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 FIL5SIRECOROS RELEASE APPLICATION iPRRAI S REQUIRED. <br /> 4. PUP,]-IC Fl.5SIREnDS NOT TURNED IN THE <br /> MON <br /> S RECEIVED WILL <br /> CORRECTEDI BY THEEHO STAFF ATrTHE EXPENSE OF <br /> ECAPPD CANT• E <br /> THIS ADDITIONAL <br /> SERVICE WILL. BE Bit-LED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHELL NOT DE REMOVED FROM THE EHP PREMISES. <br /> ...........a.. ...p.�............. <br /> DATS <br /> SIGNATURE OF APPLICANT vii _ <br /> � 1O <br /> SlGNA� 00ATF <br /> UFE OF RELEASING OFFICIA - �"- <br /> EH 00 14 (REV 9/96) <br /> •un LTO£+SLE+SLI : 'ON 3NOHd 5301�1d35 -IUIN3•A•1081r"3 -'3°IH : WOad <br /> Td WdBS:bO 8661 20 1 <br />