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RPR- 13 198 03:58PM SHI TC ASSOCIATES • <br /> � �- <br /> ora <br /> SAN JO,FCUIN COUNTY <br /> PVELIC HEALTH SERVICES <br /> ENVZRONMHNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT -T oM Lu�C�s � PHONE NO <br /> AGENCY NAME A-530 iti PHONE NO <br /> ACOMEPS <br /> ii##af'fy##a#####a•#iai•{i{iititffif*ttif Litt#iiftiiR#*#**t{fftitt <br /> artr,i. nnoxP3S STIt:TNA39 pJADtE/_ RRtI( IIM OR <br /> FACILITY TYPfi OF FZi,E . <br /> IOC <br /> - <br /> 77, <br /> �txf�jyy'�l <br /> i <br /> S1S31 ted.f6 11 C•�alc. VYIs q L_o l•viz G 11 Lu 67 <br /> . i,{��*}i}*},*t{'Yif toff YaaT.ifTf ff111Rtf if \ \ t\i 1'Y tY#i##-�#a..sLV#i4r.• <br /> THIS NOT""ICE 15 5UBJECL IU IHe REQUIREMENTS IDENTIFIED IN THE FV9LIC HEALTH <br /> SE <br /> R�ICES/ENVIRONMENTAL HEALTH DIVISION (EH01 POLICY 994.007, ORDINANCE CODE OF <br /> SAN'IIJOACNW COUNTY, EHO FEE AND SERVILr CHANGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. <br /> a.MAXIMUM OF 10 jmPREMISE ADDRESSES PER REQUEST <br /> j <br /> 2.. PlJBLIC FILEWRECOROS REVIEW IS BY APPOINTMENjSaLT..APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)488.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHbDULeU MONUAY <br /> THAI) FRIOAY EXCLUDING HOLIDAYS, 8:00 AM TO 12.00 NOON AND 1:00 TO 4:30 PM. <br /> 3. AI PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> i <br /> 4. ,PUBLIC PILESlRECOROS NOT RETVRNED IN THE SAME CONDITION AS REC991VED WILL BE <br /> COROECTED BY THE EHO STAFF AT TH8 EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 0071 <br /> 5. OPIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHO PREMISES. <br /> ♦N.I ..ai......f...•♦.♦...♦.a.ab.....r................... .............. <br /> SIGNATURE OF APPLICANT -:Ia L ^� DATE ` .q- <br /> S1GN!ATURE OF RELEASING OFFICIAL DATE <br /> EH OD 14 1REV 9/99) <br /> i <br />