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7SID y3 <br /> -C'H uCsoc��/ <br /> Fea � <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> \ PHONE NO <br /> APPLICANT PEZE� J- rn� QE <br /> ADDRESS_�2-[�cJ -1�C1tv\A AO GPHON_EN O <br /> AGENCY NAME <br /> ADDRESS <br /> 6USINGSS NAME PROGRAMR O <br /> FULL ADllRESS Seca FACILITY TYPE OF FILE <br /> ,- �c.2 N . Cl_uFF AyE \3Z Z, la�C�:¢� 'te�►ci�\uC: <br /> t3p'2 Gt_�FF PLE62E- 3�ve�\ea6, Ce,i:icfarn�`c+-cw,:/ �tic3r��G <br /> , Gc\=-2{lc-. k�.Fa LLu.w� QD . LySi.:r7;�JcT <br /> • �'1'S E_ E EVrctJ'CN 5'i. `ZRPcy Pc;\.\CE FAcil\Zti <br /> ' 3112 C?o-c H van ._LA't N4c4' \.iFEz«F �t cv\c,w\ecl►FE-c\�c �S� i. r iF!_ <br /> .�`�`"�!.\F�£'�P.N �CNn FQctJCt•\ CgmP MCc:�\EQ. c� MON\CQ.LIFET\LL LST. •�.'�`_ 7k:/' <br /> tA C'�>(�Tf2 S+'= \C'C. 11Si CG(::CAM\W RZ ION <br /> /+�cc N�A'U(aC A Qs-r�o cc., rn.mt t:f Prcto•� <br /> A\1E_ <br /> \.nno�ear Cc�utNc> -cower¢ 2y.sz/ � <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN 10 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED <br /> VICEO PAYMENT. O <br /> WILL BE BILLED THE APPLICANT FOR YMENT. ISEE EHD �CADDITIONAL4- <br /> S 0007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . .............. .• ... <br /> .......... .......... .. .................... <br /> SIGNATURE OF APPLICANT �-s4' _ `,�- .DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE <br /> Ell 00 14 IREV 9/96) <br />