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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVIC77ES <br /> ENV I RONMENT'.AT, HEALTH DIVIS LON <br /> PUBLIC RECORDS RELEME A.PPLlCATION <br /> A.?rPT,,TCANT LAuR%'e_ raer��, eco � €HODIE No �IGj 3� � 170 <br /> ADDRESS o- ,, O-fin c n. ` s-o - <br /> AGENCY NAM HONE NO� <br /> ADDRESS -� p <br /> tw**#ttir*#rkttt,rt,f*#*+,�rtvr#,r**#,�#*#t***ttt+ewww:rtw**t*#t*,rwt�-ri*+ii4e,r* <br /> ' _ � BSJ, NESS N PlZC7GR4_ OR <br /> Aft ;les I�Jt s cY+e ,_ fYV..,1Pr¢ aCZLII siZYPH Or FTL <br /> �pfeko CAr <br /> 1At 1 _ 'fiday.x� C`R.a �usT <br /> ss <br /> int T <br /> --- �.. _ M1�LLDL FIA-1 —L �ci16dLL. U^'aJ- ►l�4'i C/ <br /> jle-Arir#�rtt�riFtt##,Irirtc# t�1r#�k-k,e•r ttYi-kJr+ri•.w�;*,ty1r##*:t,Y*iteFyrir#irttt#aMt*ttrrr��+trt,r,t,r <br /> THIS NOTICE IS SIJ8JSC7 TO THE REQUIREMENTS ]DEN T'IFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY x`94.407, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT COOS AND THE EVIDENCE CODE. <br /> 1, A MAXIMUM OF TEN 110) PREMISE A00RESSZS PER REQUI ST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> BY CALLING 12091488-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOUDAYS, 8,00 Atli TO 12.00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REOUIRIED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF 4T THE >mXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THF APPLICANT FOR PAYMENT. ISEF EHD POLICY <br /> 94- 007) <br /> S. ORIGINAL PUBUC FILESIRECORDS SHAI 1. NOT BE REMOVED FROM THE EHD PREMISES- <br /> ----------- <br /> REMISES------rrir.a.f.tsy#rR a++iF r+la+a+ara�•}a <br /> SIGNATURE OF APPLICANT' �," Lam- DATE <br /> SIGNATURE OF RELEASING O 1 IAL DATE <br /> EH 00 14 (REV 9198) <br /> 1 <br />