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11-21-1994 04:55PM FROM i TO 15104208793 P.02 <br /> SAN JOAQUIN i 'OUNTY <br /> PUBLIC IfEALTRi SERvi s A,111��,;e y3e 3 <br /> ENVIRONMENTAL HEALTH DNISION , <br /> PUBLIC RECORDS RELEASE APPLICATION `-7 <br /> A PPI.ICAN'I' -;qe- PHONE NO <br /> ADDR.HSSI �5.� �r �' _. l�:k. y 0 I <br /> AGENCY AME I PHONE NO'- <br /> ADDRESS. <br /> OADDRESS I <br /> EIL-ate AGF[y�Y TATg ; <br /> fi't", <br /> ci c f7 , <br /> 'MIS NOTIC6 is SUIMF-CT TO 'ME REQUIRE MI�N IS IDENTIFIRD IN THE P MLIC HI3AL'T�I-I <br /> SERVICL' OVIRONMENTALHEALTH DIVISION(MID) POLICY#92-007,ORDINANCE CODE OF SAN <br /> 1QAQUiN C iJ -1 Y, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER COD; , <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. � I <br /> I <br /> I. A IvIIMUM OF TEN (10) PREMISE ADDRESSE� PER RE3QUEST. <br /> I <br /> 2. PUDdc FILtWRECORDS REVIEW ARA 11YARRANU A1'POINTIvIEN'15 AI S <br /> MONDAY <br /> Y CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS AM SCHADUL&U <br /> MONDAY K U FRIDAY EXCLUDING 14OUDAYS, 8.00 A-M. TO 12:00 NOUN AND I.-oo r.M. TO 4:30 <br /> P.M. <br /> I I <br /> 3. A Fu LIC RECORDS RELEASE AP LICATION A }( <br /> I ' <br /> I <br /> 4. 'H-I EM'1�I�b-bEP@`3F'f;-fiS�4F'PI�IC��'9 ;$-�'��-37ff.-ESR£sY} I <br /> R E-#AI I <br /> i <br /> S• I'[1I31Ft Li~S/RECORDS NOT RI3TURNIrD IN TH I SAME COND111ON AS RECFIVED WILL BS <br /> CORR13cr3DY THE AHD STAFF AT 71113 EXPENSE OF THIS APPLICANT, THISDi O <br /> SERVICE WILD. B$ BILLED TO TNF APPLICANT FOR PAYMENT. NA1. <br /> 6. ORIGI AL PUBLIC FILES/RECORDS SHALL NOT 4E REMOVED FROM THE EHD PREMISESSI <br /> SIGNA'T'URE OF APPLICANT _ � DAI-E Z C7 <br /> SIGNATURE OF RELI;ASINO OFFICIAL DATE <br /> 1,41.y/(��1�y71Y] 14 (R UV t }V <br /> I � <br />