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,T—c J-1774 17•�r rM.Ln'I MIL" Al l.. --------— . .��. <br /> • SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> IIVVIRONMENTAL HEALTH DIVISION y � <br /> PUBLIC RECORDS RELEASE AXFiMATION <br /> AFPIICA.NT�)o i� I ALQE j PUOINE NO_(�'+c�' S4 l--7-7 <br /> AGENCY NAME_- ',� sir, 2a�jnn�dt>>�� F'fiONB IiO <br /> ADDRI?S5 <br /> I <br /> O S A Mtl E L <br /> _2/q© mFl,n9 5�l1zEeo- IJ—r_;_.A&PIUA 9 <br /> l Lm it `?�cc'r\Mnr 1G <br /> C3� e %icj rj.T S n J3Isv.r, 5 <br /> s-.ifl rtict a i,� Tis - ma�� <br /> Altums cCA <br /> _} r MAarz-Cft Lu:W cm, f« s( z ) <br /> &4 rt� d (2/v 1 5 r r l cgih f <br /> 110 NOI7C5 IS S(JBJECT TO THS REQUUMMENPS IDENTIFIED IN TTkWELIC 14EAJ-TH <br /> 5[RVICES/ENVIRONM[akUALHEALTHDIVISION(EI )FOUCY#92.007,ORDINANrCOD6OFSAN <br /> JOAQMN COUNTY, T.MD FEES AND SERVICE CHARG13 RESOLTLMONS, S'T'ATEATER CODE, <br /> GOVERNMENT CODE AND THE L-VIDENCE CODE. <br /> I. A MA.`W� SS <br /> OF TEN(10)PREMISE ADDRESSES PER REQUEs7. <br /> 2. PUBLIC FILE3/RFCORDS REVIEW ARE .HY A9EQWTN= OS' . APPONN'I IMS ARE <br /> ARRANGED BY CALLING (207)4+56-0340. OFFICE HOURS FOR AYPONNTMENTS AkE SCIIEDULILD <br /> MONDAY'UUM FRIDAY EXCLUDTNQ HOLIDAYS, 9.00 A.M, TO 17W NOON AND 1: P.M.TO 4:30 <br /> Y.M. <br /> 3. A PUBLIC RE-CORDS RELEASE APPLICATION <br /> -MitrquIRED. DEpmrrvmm- E <br /> 4. <br /> C--Fi <br /> H�13IHEN�(37: <br /> 5. PUBLIC FILES/RECORDS NOT REIVRNED M THE SAME CONDITION AS REC VED WILL BE <br /> CORRECTED BY THE WID STAFF AT THE E(PENSE OF THE APPLICANT. TIU ADDITION/%L <br /> SERVICE WILL UE BILLED TO THE APPLICANT FOR FAYMENT. 1 <br /> G. ORIGINAL PUBLIC FMPS/RECORDS SHALL NOT BE REMOVED FROM THE fiHD PREMISES. <br /> I <br /> SIGNATURE OF APPLICANT CZFllATE _ <br /> SIGNATUR13017RELIWIN FFIC[AL DATE Imo__ <br /> ESI{ OO 14 (REV 12/92) i <br />