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nuircl-ivw lu•c.l �.�� u. u �.. ...... --..-__. _-_"1'7- 4, <br /> ..._ <br /> q3 -,AIX <br /> SAN JOAQUTN COUNTY <br /> PUB(.TC HEAl.Tfl SERVICES <br /> BNVIRONMRDTAL REAL7'll DIVISION <br /> i PUBLIC RECORDS RELEASE APPLICATION <br /> APWLZ ANT 6;?W /, e4lel PHONE ND 9Z - <br /> , <br /> AU¢' RE 8 4m/ 0.i a d--"_- '" r- <br /> A(;fNry NAME " e. xoNE Na�^Z �omo <br /> Y fy Yt�4#iRYiffft #t#i#*t##Yt# Yfttt} fifY#atttf i# ift RfY#R ###ik#YYYf # <br /> FJ]11Ls IDRESS EROS3LMOR <br /> FACILI'_CY TYPE OF FII& <br /> �eaAs <br /> Kit/srtn n� i)ZFE,gilOrFbi <br /> i I <br /> •fdi• YY<f#ttkf iYtf#Y#itiYf# I'�'Y MY IwY 1i �.`#}'#ft#ti kYiYYti. f#k## k1#i <br /> THfy NOTICE IS SUBJECT TO THE REQUIREMENTS SOENTIFtED IN THE PUBLIC HEALTH <br /> SERI/ICESIENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 194-007, ORDINANCE CODE OF <br /> SAN JO QUIN COUNTY. EHD PEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOb ERNMENT CODE AND THE EVIDENCE CQDE. <br /> 1 . A MAXIMUM OF M 1101 PREMISE ADDRESSES PER REQUEST <br /> I � <br /> 2. OUBLIfIC FILEStRECORDS REVIEW IS BY APPQW-7r-MENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED �Y C4.WNG 4204I46H•3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FR DAY EXCLUDING HOLIDAYS. 3:00 AM TO 12:00 NOON AND 1-00 TO 4:30 PM. <br /> i <br /> 3. A PUSLIC FILES/RECORD$ RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. P JSL C 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 /> S. RIG AL PUBLIC FILEStRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .. .....................�. ..__.._.. <br /> SIGNATuI RE OF APPLICANT ^• DATE <br /> $lGNATc.1RE OF RE2EASING OFFICIAL, ___ _ 4ATE <br /> EH 00 1 [REV 5196} .. -. <br /> 1 <br /> 1 <br /> . .. TTJTFL P.02 <br /> TOTAL P.©1 <br />