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TO 192563ER425 P.02 <br /> 1;ua From f�r K JVs w�/ • �( Y <br /> � ,VCrro <br /> Moogzs &3H-rlGao HEIV"'1 -lV1N�]ANO -11,AN- <br /> max Z-64 613;* ��xRZS B3 — S2S <br /> 6661 6 Z AON <br /> u utwulN COUNTY <br /> PUAr,IC RFALT9 ! > RVICES <br /> ENVIP,OV ENTAL HEALTH DYVIi "" « <br /> PUBLIC RECORDS REL.F,1sS$ APPLI Nd/ <br /> APPUCANT a. 1. ac,,G[ PHONE NO z5 f33$- ��� <br /> ADDRESS <br /> AGENCY NAME PHONE NO -- <br /> ADDRESS So,PAr 1 �y <br /> �TTe� DS <br /> BUS rN S NAME 12130GRAm nR <br /> pnrTr.rry . <br /> TYRE OF FILE <br /> 4qo t om,.,.+ "`-► `",`�+T� Ck�wti,1 4�: tcrr SLt �. --- <br /> K NQ r^E hy+�c. 3t,rd 0xd C .A+, - r fccl 35x7 <br /> **�*r►yt*ww�*�f#ttff,ti�rr,r*,E�,ttfr�,trr#***+**+��r***fir******vr*,r*#*** r��** <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL.HEALTH DIVISION (FHDI POLICY #94.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE ARID SE=RVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMER17T CODE AND THE EVIDENCE CODE. <br /> 1- A MAXIMUM OF I,= PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)46$-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLIJOING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4.30 PM. <br /> 3- A PUBLIC FILES✓FtECORDS RELEASE APPLICATION IP"A) IS REQUIRED, <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT'FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBIC FILESIRECORDS SMALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ♦•T+#+t+•i•�r�r��iaii���i��rT•/ff i���T••a�s+i+itlr���♦+1• <br /> TtfTf t4f Y��Tf ff•�� <br /> SIGNATURE OF APPLICANT DATE j V/Gj f <br /> SIGNATURE OF RELEASING OFFICIAL DATE f-�7 <br /> �- <br /> EH 00 14 (REV 9196) <br /> TfITCi P.P17 <br />