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' I—'L7—I`..1�JtSG:LbYM rn�HUVFUVI.ty ucuClvvanuvw-LW'u�r' �-_.� <br /> ' 1 <br /> lZ SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ` PUBLIC RECORDSRELEASE APPLICATION <br /> APPLTCANT (.ollu✓ r` PHONE NO ? /106 <br /> ADDRESS :: 4 W <br /> AGENCY NAME PHORE NO -el& ze <br /> ADDRESS >> <br /> t +t##irk##; Rai+4#a kaiA}+}+tAa}####A r###a###r+#r♦+#aa+ia aak 4#ra+#r <br /> FV,L_,L AD�FS_ B�I$INE.�� NAME/ PROGRAM OR <br /> FACILITY TY OF FILE <br /> a <br /> /z 8 <br /> iti#tat # tt +aii# # i#}#alar*at;aaii.ia##r;i+rt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESJENVIRONMENTAL HEALTH DIVISION IEHOI POLICY #94-007. 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 LE.9 110) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECOP.DS REVIEW IS BY APPOINTMENT 0NkY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFRCE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRV FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM <br /> 3- A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAt IS REQUIRED, <br /> 4. PUBLIC F1LESIRECORDS 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 BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ... .......I.............................. <br /> SIGNATURE OF APPLICANT 66j DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 IREV 9/96) <br />