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00- 072 <br /> c2. <br /> SAN JOAQUIN COUNTY <br /> ENVIRO ZCMLIC AL FMALTHLTH DrVVISIOx <br /> PUBLIC RECORDS, RELEASE APPLICATION <br /> ...APPLICANT D., IA)OTPJ 101. PHONE No <br /> ADDRESS31(d1 C�pld Cnmo Pr_ Sic .l {�]or'E- -.1n <br /> AGENCY NAME L77A FN V I¢'vl%ImirNTA L- PHONE NO <br /> ADDRESS <br /> ;;;**rrtrw+tfrh++,t*rr+*xrrt#t+trf;r:rre+rr;r;;r*rrrrr.wrrrr+;rxx+;+ <br /> FULL AWRASS BUSINESS NAME! PROGRAM OR O <br /> FACILITY TYPE OF FILE O <br /> 3c N 0 LOD CHEv # A/ra3G) _ usr _ <br /> r3) O <br /> G tt ok c / i-Cf <br /> -itN' (Inn A _QfDPYha �¢I�.n,lf k H 3 -n10 Ales (ACTT <br /> 11 C.7- <br /> -b'q S6S NdY F} VF1l(,Y-ir�1,F, F <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHOI POLICY /34-007, 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 I=LIM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW 15 BY APEOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY.CALLING (2091488-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TD 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS RBOUIRED. <br /> 4. PUBLIC FILESIRECORDS 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. ISEE EHD POLICY 94. 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICAN7� • ZJj/y4./4 I_ •+• DA'TE`••••6 <br /> T <br /> •**#•r <br /> SIGNATURE OF RELEASING OFFICIAL— � DATE <br /> EH 00 14 (REV 9198) <br /> MOOED TOTAL P.01 <br /> MAR 2 9 2600 <br />