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�- +2-_t-11a9-_ 3:01 f 1 t f RUI•I WnYNE S I14.10NS 916 357 59P': F�—L <br /> ^02-_4-t 9'70. R1 :PFAK um P.P.0t '= <br /> _— SGt LL.dew - <br /> �9i yb -0/3ff cyy OX3 <br /> i <br /> SAN JOAQUIN COUNTY <br /> I PUIDL:EC HEALTH SERVICES <br /> FrIVIRONMBNTAL HEALTH DIVTSTON <br /> PUBLIC P.ECOPDS RELPILS11 APPLICATT_ON <br /> 4YNE <br /> A Ct,T=iT 6 ° ArOl -S,A- ,,t4MtgPHONS NO A 7-b�41 <br /> DRESS 7 1 !G <br /> AGENCY NAME fA IC HEAL -S PH( NO y0 <br /> ADDRESS �0¢ 6,W0AX AVE itHPY- M/S CA 95201 <br /> #+�#swtsrs#tattaatt#tt••aa##araastrrsaraasstrrrsarxaktrr#rttraaas# <br /> ELjLL AI7DR&S� BIzsTNE$ IVAME_( ERy(1c,�tgC4 SJR <br /> FACILITY IYPfi OF FILE <br /> pVE _ cxcy�T7arTaN 7-4136 Usr INSr�11L�n�� <br /> 1 <br /> i <br /> J <br /> _I <br /> #'wI#fa###ttta#tRktkRt . .4tR ••• •kfkatttttraaaa#titttaaaaa♦ftt#14Msr# <br /> TI IIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SEOVICESIENVIRONMENTAL HEALTH DIVISION (EHOI POLICY 094-007. ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER GOOF, <br /> GOIVFRNMENT CODE AND THE EVIDENCE CODE. <br /> 1. IIA MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 7. PUBLIC FILESMECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> FD BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THtU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. /4 PURIJC PILES/RECORDS RELF.4SE APPLICATION (PRRA1 1S REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THF SAME CONDITION AS RECEIVED WILL RE <br /> COPPECTF.D BY THE FMD STAFF AT THE EXPENSE DF THE APPLICANT. THIS A0111TIONAL <br /> SEgVICE WILT. RE BIL F4 TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> I <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EMO PREMISES. <br /> SIGNATURE OF APPLICANT P .y. .' ...................... ........ ..DATE _d <br /> SIGNAII ��i <br /> TURE OF RFLEAStNG.WrFICI lU_y__ DINE <br /> EI'1 00,14 IREV 91961 <br /> ! I <br />