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(`y ��l / (/ [///.. � ':�•'�"6 is ��-� <br /> V�V/ SAN JOAQUIN COUNTYa �24y r m z�F sry D" <br /> PUBLIC HEALTH SERVICES`-:'+ <br /> ENVIRONMENTAL HEALTH..DIVISION a< <br /> PUBLIC RECORDS RELEASE APPLICATION ; ;� Y � '� <br /> r r '� x r%�s tin ,t�'+? •has i . <br /> APPLICANT ef97Ny �E&D PHONE ANO. 0?%# 67 ' 27p6 <br /> ADDRESS / piG//tleZ'CE GP. SAM G4 <br /> rz <br /> AGENCY NAME^ MZ^� - A520 . _PHONE NO t4v <br /> ADDRESS = x' <br /> • r _ <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> 302 NEST WJewz VtST k1wD)aui:p h­r�.cccu o. c72. <br /> 445• b./ -T /macer—KI 11 HL4¢rtnasr <br /> 40Z WRS7 �VCBW— l,'( S, rqlLaffgjS MNSEUM <br /> 4431%a'4.10&6,) W. !nIEBETLI\;� l I e�6= 6e 1 KE7�vad,9WsAJ7A6e C-y <br /> 20.3 SOUTu Un/IOf_,01,A i 5PWi e4 PT <br /> 333 7NGE8uR67 4a VE,E k/A7PR Fej4nIV r YAtk7 <br /> zos n/, c�vrF,e. 'l. S'r ,abPCo ✓ <br /> ¢oma ,V. u�/coc✓ .A<. - F. C, fir„✓ +f-1Z ✓rce <br /> 41/ .V. AAlA11e4 1691-t5 GA1A1r�daoy <br /> 51Z4 N. ✓4,11 `fa/.eea4A !S7 C14ne eg,- _r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) 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 TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)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 FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS 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 EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES_ a <br /> aaasaaasaaaaaaaaaaaaaaaa. aaaaaaa as •♦ aaaaaaaasaaaaaasaaaa as aaaaaaaaaa ;� <br /> SIGNATURE OF APPLICANT DATE 3 2S aJ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />