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GGrrlto <br />{ 09-28-1999 02:02PM FROM TO1672 P.01 <br />Ivr.+ • r r 7 <br />g, ,1,+, OCT - 1999 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERvicEs <br />ENVIRONMENTAL HEALTH DIVISION <br />PUELTC RECORDS RELEASE APPLICATION <br />APPLIADDRSCANTSS ��� � _PHONE NO i3lFi3�s.�i'Gla 3 <br />/f'6sJ9 Sa»rmp <br />yic�slil7 !d'.(d,�CB 9J3s2 <br />lnnt?pAGIMICY NAME PHONE NO <br />annocca <br />+ttwxtwwtwt#wtx*ttatit+wt+w+w#+#ttw#:w+tt+ttiwtwtt+++ww�ptaw+wt+aw <br />EHjaL ADDREaS g�`3INES9 rrnl�/ p �. <br />J-9rff46 15 <br />.3'S�-S�.TA.V Jn-4�jA,iy'r �'=.✓,1��'�FiC'_ A,�� <br />wttt+tt t w*xtw�xxx+.wt*taxes#x+awtwtt'�#� �rw t <br />+tt+tx*awttt <br />THIS NOTICE IS SUBJECT TO THE REQ'J13EMENTS IDENTIFIED IN THE PUBLIC H <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION () }ID) POLICY 094-007, ORDINA ODE OF <br />SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br />GOVERNMENT CODE AND THE EVIMc E CODE. <br />.N <br />1, A MAXIMUM OF TM = PREMISE;ADDRESSES PER REQUEST <br />2. PUBLIC FlLESIRECORDS REVIEW IS BY APPOINTMENT ON w gppOl P1t�CESS <br />ED BY CALLING 12D9?488-3420. 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 FILESIRECORDS RELEASE APPLICATION (PRRA) IS REOWRED. ° <br />4, PUBLIC FILES/RECORDS NOT RETUPNED IN THE SAME CONDITION AS RECEIV <br />CORRECTED 8Y THE EHD STAFF A7 ED WILL 9E <br />THE EXPENSE OF THE APPLICANT. THIS AD0010ML <br />SERVICE WILL BE BILLED TO THE APDL (ANT FOR PAYMENT, IEEE EHD POLICY 90 007) <br />S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD p"IS"i <br />....9...........• ..O.i... .. -AWA <br />SIGNATURE OF APPLIC <br />SIGNATURE OF RELEASING CIAL <br />EH 00 14 (REV 9196) <br />re l......a.ra...��!lu.. <br />)ATL <br />---------- <br />FAR LO 464-0138 <br />.4, TOTAL P, of <br />