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vJtl�G N lu UI -JG "ZL— Iti:IV1.,rn�.u. .�.... i�..a.u...a ..� LL/ --- <br /> 11-13-1957 09:49PM AWA TO 15109254441yy P.02 <br /> SAN TOAQUIN COUNTY <br /> PUBLIC RERLTH SERVICES <br /> El;1VI PONMENTAL HEALTB DIVISION <br /> PUBLIC RACOE S RELEASE APPLICATION <br /> PLIC SHL (ta 1 7 punNs <br /> 1 ADDRESS SC74o 17-1 <br /> SNCY N PHONB NO <br /> � Rsss <br /> t ###t##ttt###tttt+ti#tx'rx#tt######*###xttttt#tt#txttttttt#tt#ttt <br /> �Vg7SS NAMS/ PROGRAM OR <br /> W ST/U 5T <br /> t 2 E45T g5)gL40- 5iT ( V .ua�F CrG1 <br /> �T S�'rort <br /> I <br /> � I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBUC HEALTH <br /> SERVICESMNVIRONMENTAL HEALTH DIVISION (EMD) POLICY 194-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> 1 GOVERNMENT CODE AND THE EVIDENCE CCDE. <br /> 1i. A MAX➢NUM OFTEN Ll PREMISEADDRESSES PER REQUEST <br /> PUBUC RLES/RECORDS REVIEW IS BY Ap,QO1N(ME14T ONLY, APPOINTMENTS ARE PROCESS- <br /> BY CALLING ;209146634213. OFFICE FOURS FOR APPOINTMENTS ARE SCFIE IUIFD MONDAY <br /> HRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3, A PUBLIC FlLESIRECORDS RELEASE APPLICATION IPRRA( IS REQUIRED. <br /> PUBLIC FILESMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> ORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> ERVICE WILL 6E BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-0071 <br /> � I <br /> 5. ORIGINAL PUBLIC RLESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. -. <br /> �...................... . ........... .......... .. .... <br /> SIGNATURE OF APPLICANT � ��TT� y -- SIZ7 /... <br /> U � SIGNATURE OF RFLEA51NU OFRG7G-,�_.VI�1N�'��%�-�'✓ <br /> EH 00 14 (R£V 91961 U <br />