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SAN JOAQUIN COUN'T'Y , <br /> PUBLIC HEALTH SERVICES <br /> ENVIAONMIiNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Advo Q PHONE NO OC1 - V O Q <br /> APPLICANT �• ,r`� q �tp6 <br /> ADDRGSS _ pHON NO <br /> AGENCY NAME_ S <br /> ADDRESS =+ V FA•,i WEPkR A.r � 4'tocKJan CA �1 uZ <br /> .++ r . aa + s++ rtaaa++a a+aaa+ats++sr+r+ra+++tax*+rrtr+t*+t+++tr++t+rr <br /> jEULL ADDRESS ]usiNESS NAME/ OGRAM OR <br /> FACILITY TYPE OF FZLE <br /> G 00 <br /> Nu <br /> o <br /> 5 a. c <br /> 7a tao i iA_s+M a A 11 <br /> yg P Stirr} <9L TRAS <br /> zz,5 �I CI#yQ_ /3ACo A3� 76.0 . ,Say; ,I� <br /> Sau tgt FaL&O <br /> 1�1 1 N� <br /> ++a+tt++ x+arataat+t+te+++aatat++t+ttttx+r+rttt++ttx+ttx♦t+++xxx++ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED W THE PUBLIC HEALTH <br /> SERVICESIFNVIRONMENTAL HEALTH DIVISION IEHOI POLICY 794-007. ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, END FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I.- A MAXIMUM OF TEN M PREMISE ADDRESSES PER REQUEST <br /> Z. PUBLIC FILESlRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. 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 FILES/RECORDS RELEASE APPLICATION JFRRAI IS REOUIRED. <br /> 4. PURL.IC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> BY THE EHD STAFF: AT THE EXPENSE OF THE S RVI ETED WIILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> SEE EHD POLICY 9ADDITIONALTHIS 4007) <br /> 5. ORIGINAL PUBLIC FRES/RECORDS $HALL.NOT BE REMOVED FROM THE EHD PREMISES. <br /> ......... .................................... <br /> �J ,- DATE dZ -v3 - y � • <br /> SIGNATURE OF APPLICANT 1Lti: � ''��--�-- <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE <br /> EH 00 14 IREV 91961 <br />