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SAN JOAQUTN COUNTY <br /> PUSL TC HEAi.Tl{ SERVICES <br /> ENVIRONM[3N'i'AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLI ANT PHONE NO <br /> ADORE S 40t w a�+ ��irs.L� C I A-6.47-1�Ic <br /> AG ,.NC NAMQ Y u./i i nyj�t� _PHONE NO (amo <br /> ADDREIS <br /> w+Yr+itrtf ww+•:rtww.wt*+lwxlt .:r++swll+fr,.aYf.exw .*f r•txw kw l+* h*r+r♦ <br /> � i <br /> ZuI .4 MgPAM OR <br /> FACILITY TYPE OF <br /> t cU-f �r�GlZcvri� rf.�Xn <br /> �- I�/ ,j 3�`rIn r-ndd r/J/jl 1 Lr Ei✓l�OsFjyj%{,?(�/ L a!/741j L@a�S <br /> •*i*x arata+fk•i•aa+*w4s•t �.+Y'Ywt Yff wilt**+f t++t kti*}x+ • kw kf* kf Rw <br /> THI NOVICE IS SUBJECT TO THE REOUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SEH ICESIENVIRONMENIAL HEALTH DIVISION if-HDI POLICY 194.007. ORDINANCE CODE OF <br /> SAN JO OUIN COUNTY. EHO FEE ANO SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOYS ENT CODE AND THE EVIDENCE CODE. <br /> I. AM IXIMUM OF W 110) PREMISE ADDRESSES PER REQUEST <br /> 2. iFIUSL{{IC FILFSIRECOROS REVIEW IS BY APPQQ�PtTMENT ONLY. APPOINTMENTS ARE OC SS <br /> EO BY 41-LING (209}466-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED. MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 72:00 NOON AND 7.00 TO 4:30 PM. <br /> 3. A PU IC FiLESlRECORD$ RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. F JBI.C FILESIRECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORREC ED BY THE EHO STAFF AT THE EXPENSE OF'rHE APPLICANT. T141S ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 0077 <br /> S. OIRIG At PUBLIC FMES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> i` <br /> SIGNAY R6 OF APPLICANT — _ OAT£ <br /> $ICjNAT RE OF RELEASING OFFICIAL,/ ` DATE <br /> EH 00.1 [REV 9/96) <br /> 1 <br /> TTJTPL P.02 <br /> TOTAL P.01 <br />