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uv/44,do lnu_tu:tl rnm- =IV -ra-a.r_ _.--"-- _ . _ _ _ <br /> TO• 9460621�'r!v �>�/ <br /> e�-ei->,9se ie:22Pn � � - <br /> 98 -ave <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HSAL'L'll SERVICES <br /> ENVIRONMENTAL I16ALTli DIVISION <br /> {{{{{{ ,,,,,, ��� ---��'' PUBLIC RECORDS RELISASR APPLICATION <br /> APPLI Ni L1f (/✓iCCst y®c/ /� PHONR NO <br /> ADbRE S�� G�i877,r-.rT <br /> AONC� NAME „/AO!r- PHONE uo :no ,5". ... <br /> ADI?PR 'S <br /> P'Ufi,L D lKgSS NAC4Ll1 PROGBAM_ OR <br /> FACILITY TYPE OF FIT,B <br /> ZE -- <br /> 1) <br /> f+flkf# #M#ii 4+ffly#}x+*{*+#4f*Y4fRx}}x}+tiYff}k##+iiia+{iiikxt*!*+ <br /> THIS NO ICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> 5ERJ/ICE''ENVIRONMENTAL HPALTH DIVISION (EHD) POLICY 994-007, ORDINANCE CODE OF <br /> SANIJO�}}'QUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOMERNMENT CODE AND THE EVIDENCE CODE, <br /> 1. PIM 'MUM OF JW LIM PREMISE ADDRESSES PER REQUEST <br /> i <br /> 2. POBLI FILESIRECOROS REVIEW IS BY AP_PQIN_ MENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BIY C LLING (20914138-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU OR AY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:60 TO 4:30 PM. <br /> 0_ Ai PVLIC FILESlRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED_ <br /> 4. PUBU , PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> cooFC ED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TI-11S ADDITIONAL <br /> SER'{ICE ILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 007) <br /> S. Oi IGI AL PUBLIC FILES/RECORDS SHALL NOT Sr REMOVED FROM THE EHO PREMISES- <br /> NT <br /> ....-;. ... .+..�•._ •-_••:'------ /--J----� - ---------_------------------ -- <br /> SIGNA7U E OF APPLICA.. ¢�X DATE <br /> SIGNATUI E OF RELEASI OFFICIAL � DATE <br /> EH DO I4�IREV 91961 <br /> Ji <br /> TOTFL P.02 <br /> II - <br />