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SAN JOAQUIN COUNTY ` <br /> PUBLIC 14EALT11 SERVICES <br /> ENVEROifMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION C <br /> nE'PI-ilCA �Oµrl �%jCoVEQ— <br /> PRONE NO S 16, 42.6-Z,6i d <br /> �� ,.rr�.ti cam- 94.�6�6 <br /> AWDRESS_�lZSZ �°�- �ja�9 LE PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> BUSINESS NAME PROGRAM OR <br /> FULL ADDRESS EAC LIrY TYPE IF FILE <br /> ¢I LL <br /> C <br /> E.s ICE a, vr , <br /> LQO S. gEcxma.� QoA� 121cy, LV5r <br /> — rry <br /> 85i E' Lemic Liv ' � <br /> 80 S. UE�KmA.! <Za11311,{1 +^Icic �-��' LUST riu <br /> Z! T, L [ t <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> DE OF <br /> SAN JO STEN COUNTY, EHHEALTH D FEE AND DIVISION <br /> CE CHARGE(CY #94-007, ORDINANCE RESOLUTIONS, STATE WATER CODE. <br /> SAN JOAQVIM COUNTY, EH <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 .` A MAXIMUM OF TEN UJO PREMISE ADDRESSES PER REQUEST <br /> 7. PUBLIC FILES/RECORDS REVIEW IS BY APPQINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)460-3420,D0 YS aHOQ AM TORI Z:QO NOON EAND NTS i QQ T0RE 1 4D30 PM <br /> ULED MONDAY <br /> THRU FRIDAY EXCLUDING HO <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED, <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD TO THE APPLICANT OR PAYMENT. SEE EHD POLICY 94PLICANT. THIS I <br /> TIONAL <br /> SERVICE WILL BE BILLED 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •s 1 s s s !f a a a 1 a s f a a a a sa a f a • ♦ ♦ a 4 a a f a a f a a f a i a a a f a a a f a a DATEa� I� a�8a a 4 1 f a f f a a f <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING FICIAL <br /> DATE <br /> EH 00 14 IR�V 91961 <br />