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Z@9-579-2225 NJDESTO ATC <br /> • PAGE 02 <br /> �l G4SG � •lAI 'G "; <br /> GD 031 <br /> SAN JOACUiN COUNTY <br /> PUBLIC HEALTH SEIZvICBS <br /> SNVIRONIMNTAL HEALTH DI-VISION <br /> PUSLYC RECORDS RELEASE APPLICATION <br /> APPLICANT �APHONE NO Zt)'f 51-4 -Z21-) <br /> ann�;rss irl-r Lc>'n.s Pa► /,�..,� t�•c a �....�- 4o i ,a <br /> 1it;SQCY NAiaS PHONE No <br /> J�aalkess <br /> I <br /> *Xi.yrwr rYiaiy y�.ie iYii WY Wi*}YX#t Ytt**Y**tt**Y**�W}-y.X*�.yri•k tt*#Y1•xf k <br /> i <br /> p77 nD e <br /> auszIrEss ATA4421 <br /> 21 QRf7f:R (177 <br /> Mol <br /> FA T .TTy TYPE of FrT F <br /> •—k..�l � <br /> I�{2.e <br /> ML <br /> 351 <br /> 31 N .�.n 1 ' iq so <br /> i <br /> fit tYY}***Xi}•*YxyX1x?ix't YXY liiXxrtf ew•} li tii iR ,..•*r Wiyriy LiWWi*Ni} <br /> THISINOTICE IS SUWEC r 1 U I Ht REQUIREMENTS t0ENTIFIED IN THE PUBLIC HEALTH <br /> SEWCES/ENVIRONMENTAL HEALTH DIVISION IEHOJ POLICY 194-007, ORDINANCE CODE OF <br /> SANII`JOAQUIN COUNTY EHO FEE AND SEHVIC$ CHARGE RESCLUTION9. STATE WATER CCOE, <br /> GovI RNMENT CODE AND THE EVIQENCE CODE. <br /> 1, AI MAXIMUM OF IM LW PREMISE ADORESSES PER FEQUEST <br /> 2. PUBLIC FILESlRECORDS gEV1E7eY IS 8Y A _Pp TMEyVT. �NL.Y..•t,PpOlN-m�TS ARE P90CE55- <br /> ED 8Y CALLING l29914fie-30.20. OFFICE HOURS FOR APPOINTMENTS ARE SCH>_DULtU MONUAY <br /> THRU( FRIDAY EXCLUDING HOLIDAYS, 8:90 AM TO 1206 NOON AND 1:00 TO 4730 PM. <br /> I <br /> 3. Aj PUBLIC FILESrRECOROS RELEASE APPLICATION (PRRAI Is REQUIRED, <br /> I <br /> a• P(1@LiC F1LES(RECOROS NOT RETURNEo IN THE SAME CONDITION AS RECEIVED WILL 8E <br /> CORFFCTEO BY THE EHO STAFF AT THE EXPENSE Of THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL !3E BILLED TO THE APPLICANT FOR PAYMENT, (SEE EHo POLICY 94- 00;) <br /> 5. JGINAL PUBLIC FILESm ECORDS SHALL NOT BE REMOVED FROM THE EHD PR! ,y1i5E5. <br /> SIG TUgE OF APPLICANT�� "`-•�••�•••.+.....,. <br /> SIG�TURE OF RELEASING OFFICIAL <br /> EH OQ 14 (REV qM6) DATE <br /> I <br /> TnT" P.a^ <br />