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y�11-4�3-1999 11:47AM FRUl TU �`r25S- E'rfj"1 N.4.i1 <br /> co, <br /> OAQUIN COUNTY <br /> PUBL+ICSAN JHTMTH SERVICES <br /> PUBLIC RECORDS <br /> RELEASE APPLICATION <br /> APPLICANT .JGISOIF DC('iA PHONE NO 06 <br /> ADDRESS DO MOn <br /> AGENCY NA NB [ P poildc PHONE NO nOd <br /> ADDRESS <br /> *t**t!*+**4*+*w*w*ww+w*t*#**t**t**t+t*itt errrxxt+tt*t*ttttxx*rxrr <br /> F'J):,L ADDRESS Si35INESS NAME/ PROGRAM OR <br /> FACE[ITY <br /> TYPE OF ZILE <br /> G Q•'V � f��-� <br /> w*t*kt*tr+t*+tt:x+txtrit+rtrttxrtxrttx*t#*t'#++**t+x+xer+*t**+*+++ <br /> THIS NOTICE(S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAE HEALTH DIVISION (END) POLICY 194-007, 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 10 IM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPJ MEHT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091488.3420. 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 FILESAECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC 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. (SEE EHD POLICY 94- 007) <br /> 5, ORIGINAL PUBLIC FILES/RECORDS WALL NOT BE FjEMOVED FROM THE EHD PREMISES. <br /> t Af 1111♦♦♦♦1111'}♦fYas A}e sasa ♦ ♦ •♦A• ` 1♦aa•Ya�r�♦♦.1♦ • •}•♦}pO♦{iaaw <br /> SIGNATURE OF APPU TE t l 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 1.4 (REV WSPI FAX x(209) 464-0138 <br /> TOTAL P,02 <br />