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UJ/1 U7 1]7 1-- 11.11 'Sl li.i i-:-il cJZ•F-' " - -- - u r•xrav•� :.:r. c.� . - - -• - ^— -ti�—`--- <br /> i �.• w• r 1U 19163751824 P.02 <br /> •9 `/r ✓� <br /> 5 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HS.AIIM SERVICES <br /> ENVIRONMENTAYi HEALTR DIVISION <br /> PURL-TC RECORDS RELEASE APPLYCATION <br /> APPLYCANT �11iaw, PRONG NQ_61 3-75-1000 <br /> •^� <br /> AUDRESs a5Q 2wdo�r�l $ice S� ?.�G, !�Z s`+.asmc- gS(ygl <br /> AGENCY NANR F+ry rnn-e•fr;x _� PHONE NO . _ .� o►bo,►$ <br /> ADbRE55�6-ft AS <br /> � *********y►!t*,k ►•+**tX#***!tt#!*1f*#*#RR#**#*#ME <br /> PULL_ ADDRESS BUSINESS NAME/ 8N!8OGRAOR <br /> ISO <br /> j FACILITY TYPI3 OF FILE_ <br /> • <br /> s; �ie ,TS +�1 �152D6 'i ,uts"�iyc�`..,ua S-' 3 S a ren µ <br /> T ' <br /> I } 9 V:Li T <br /> ' _ J�2 S`7 35-, i c. tvL l- <br /> •A#dFt�-k7f*#*1F,�'k�lr•k*•it#+-k4#**k#**!�#�r}•k9t'k•k•A4#totkf#•k�Mi•4MItM�ktEli•*#tfltf## <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHb) 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 UN=PREMISE ADDRESSES PER 11EQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT OILY.APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)469-3420. OFFICE HOURS FOR APPOINTMENTS ARF SCHEDULED MDNDAY <br /> THRU PRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> ' 3. A PUBLIC FILESlRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FiLES/RECOR©S NOT RETURNED IN THE SAME CONOMON AS RECEIVED WILL BE <br /> CORRECTED BY THE.EMO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE SICCED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY Sd-0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EM PREMISES. <br /> liif•wi••••1itf+iR4ii•ii�i• •�•• shit a •}♦i•i►i•��••iiiiiiifiiiiiffsi*♦ ' <br /> SIGNATUR>_ OF APPLICANT ' SATE 4 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/961 <br /> TOTPL P•02 <br />