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- r <br /> SAN JOAQUIN COUNTY <br /> PUBLIC IIP.ALTII SERVICES <br /> ENVIRONMENTAL EIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO (.alo �t �i3L5G) <br /> i - APPLICANT' L�2. [.Lcc� YK3 --�� � —�-- <br /> nDDR [i3 , LIlolelp ol.J6NSiJ,ery , SA!W, n7f Gs� <br /> 1kc Ericy NAME /� L'L'- Ls— l NO <br /> ADDRESS - <br /> yY . Y * ii # KiiYi * * LL * * y * i * yYk * * i * k '* '4 * i * * + + k # * * iii * f LL 4kii # # # i # * * L # is <br /> FU1�i=AUUR5 � BUSINESr NAME1 PP_ GRAM OI2 <br /> FACIL.I'YY <br /> TYPE OF FILE: <br /> f J1 oil f- ( (llYrlla. l�rr' t L"ra40 <br /> /')F✓Q�rl✓ <br /> S7 <br /> vertctc,14t�rki;� L111 ___ _- ..._— <br /> ail �Fr� JvPJ[7kaa. U_avlllce� 2tz r_usr <br /> t1 �t._ �la �'` r,ti �Cc1D>7 ��_+�1 __ . , rn�Ps L, Not / 'l�� r <br /> Frl& � ��tf�.k>/���_ ` A . crLt_1YJN+¢k jq 3:; 5=:r <br /> 2 ell <br /> J`91t ��� �Sw a_ Snr�S {tort 3S � Llcil` <br /> flat I)II .YAC_-.Qc�^„1.T�un.�' S7m 35'' ,,,,,.,,,I.uSr` - - - <br /> 1_31� � . W� ur it of " t��fL1 �� i6 r @r�o5r)1*n�avW N - - <br /> 1 15 N <br /> )11 e , vC, _ rt [ft_(�vt X Lrrers�arF. Al'NK1�3 i--- --- <br /> IiS NOTICE IS SUg.IECT TO THE REOUIR(MFNTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTALIWALTH DIVISION IFHDI POLICY #94 - 007 , ORDINANCE CODE OF <br /> SAM .JFIAOLIIFd COUNTY, ENO FEE AND SERVICE CHARGE RESOLUTIONS, STATE. WATFR CODE, <br /> GOVERNMENT CODE AND IHE EVIDENCE CODE. <br /> 1 , A MAXIMUM OF TEN [ 101 FTIEMISF. ADORES cS PER REQUESI <br /> 7 , PURLIC FII_ FSMECUROS ITEWIEW IS RY APPOINTMENT ONLY , APPOINTMENTS ARE PROCESS- <br /> ED Ry CAI I INR 17.09I.IR71 -J+120 . OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> 1014RIJ FRIDAY FX.CLUOING HOLIDAYS, 8:00 AM TO 12 :00 NOON AND 1 :00 TO 4 : 30 PM . <br /> .3 , A PURL IC FILESJRFCONDS REI_ FASI- APPLICATION (PRRA) IS REQUIRED . <br /> 4 . PURLH: FILESlRECORDS NOT RF_ forTIED IN 11 It, SAME CONDITION AS RECCIVCD WILL BE <br /> CiJRHFCTFD RY THE ELID S1 APF AT THE FXPF. NSE OF TI- IF APPLICANT 1111SADDITIONAL. <br /> SERVICE VIII-L RF. BILLFh fI) IHF, ANILICANF FOR PAYMENT. (SPE EHD POLICY 94 - 007) <br /> 5 . ORIGINAL PUnIJC r1LE7 !RECr)nrlS SHALL NOT RE RENIOVFCI FROM -1.110 CHO PREMISES . <br /> SIGM1IA f IJNF. OF APPI ICAfdT' ' (TSB r/ i✓f.6r +`� • •—.DATE_�1- � �J_ • _ <br /> SIGNATURE OF RFI FA SING OFFICIAL_ DATE <br /> FH 00 14 (REV 4196) <br />