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i <br /> SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO ('j0'1)IiZ1- IcA5 <br /> ADDRESS IZJDI ut LVO J lXiFLD cAt q 45 3 <br /> AGENCY NAME V w t.Yc14L PHONE NO P,6W <br /> ADDRESS cArr1T-- Al. A66\6 <br /> I #*+*#tYx#tYtxYtx+rx**tt*#t+t++txxYxa+w Rix*t#*+###+#Y#*#+++YRYYxt# <br /> STtt.r. nnDREa5 OR <br /> $�NA[m/ TYPE gr E <br /> (f FACILITY (l <br /> ]Y lr, l r U 1T <br /> I ��- r I � U7 _✓ <br /> u � <br /> � s 1 <br /> ro » eItxyj . <br /> Z r14 1 I <br /> 1 <br /> I <br /> j ###Rt##t*######t#xtYfYxYxxt*#*t#*x#*##tY*#****ttkxtYYxYxwxx*#*Yt* <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> t SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY ,894-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY. EHD RE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> J 1. A MAXIMUM OF TEN JM PREMISE ADDRESSES PER REQUEST <br /> t <br /> 2. PUBLIC FILE"ECOROS REVIEW 13 Sy A_ R1TN1IMT ONLY APPOINTMENTS ARE PROCESS <br /> BY CAWNG 12MI468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:90 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> I <br /> 3. A PUBLIC FILESIRECORDS RELEASL- APPLICATION (PRRAI IS REQUIRED. <br /> 4, PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> { ADDITIONAL SERVICE VYILL BE BILLED TO THE APPLICANT FOR PAYMENT_ (SEE EHO POLICY <br /> 94- 0071 <br /> i <br /> 5. ORIGINAL PVELIC FILES/RECORDS Si TALI.NOT TIE REMOVED FROM THE EHO PREMISES_ <br /> SIGNATURE OF APPLICANTATE <br /> SIGNATURE OF RET_EASING OFI=1 _ ATE 11l I� <br /> EH 00 14 IREV 9196) L � — <br /> TOTAL P.02 <br /> TOTAL P.L . <br />