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' L CIU _1.7.7tJ 1 1�-1.1 •_—._ i.i\aY'a ra.cam✓ •'- i <br /> 7py --AV 9 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVI ,O M8NTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION . <br /> pliONB NO <br /> ADPL-rcANT <br /> AD©rtFSS "l pH4N ISO <br /> AGENCY NAME n� <br /> ADDRESS MAE Co <br /> 5Q4 9ftf <br /> �***t#af+,r+ rt**t++++*;+*t+*�►�+++*+*r+ft+++*#+f+ttttt,�,rar#*ttrrt*+tt <br /> IN>;SS NAME-1- <br /> FLILL, AUDR1: FACILITY TYPE CIE' <br /> Azoo-1 -All <br /> fy <br /> y g E D' ee A L TAA s_�- .s" <br /> mac: �c 1.. �..��, <br /> t*aFR +tt* #+'ii+##+t#i#•ktt+*ttt*i###'4tt7lt�'J'4f'#*f## Alt#�tkfiFit###tirikirti'#'k <br /> THIS NOTICE IS SUBJECT TO THE IjECUIREMEPTTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY .994.007. ORDINANCE CODE Of: <br /> SAN JOAOUIN COUNTY. END FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AMICI THE EVIDENCE CODE. <br /> 1.- A MAXIMUM OF TEN i O PREMISE ADDRESSES PER REQUEST <br /> 7.. PUBLIC FILESIRECORDS REVIEW IS BY 8PIsOlr4TMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED B <br /> THA V FRIDAY EXCVUD NG3HOLIDAYS. $•00 AM TO42 . OFFICE HOURS R12:00 NOUN EAND NT5A 00 TO 4: MONDAY <br /> 30 PM <br /> U <br /> 3. it PUBLIC FILESmECORDS RELEASE APPLICATION JPRRAI IS RE4UIRI✓D. <br /> 4. PUBLIC FILESJRECORDS NOT RETURNED IN THE SAME CONDITION AS RECI`1VED WILL $E <br /> CORAECTFD BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOS PAYMENT. ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL Pt1$11C.fj.I_ESI.REGORQS yHALL.NOT BE REMOVED FROM T14E EHU PREMISES. <br /> ..... • <br /> r..a.�....♦s....a♦..i++...+� <br /> DATE <br /> SIGNATURE Of APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 IREV 91961 <br />