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RE ;z 13 <br /> CEIVED <br /> AUG 11 1999 <br /> 1 <br /> Q ` ( <br /> ENVIRONMENTAL D � L NEALTH <br /> PERMIT/SERVICES <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL ItEALTIt DIVISION <br /> PUBLIC RECORDS RELEASE APPLIC ' ILl <br /> QQ APPLICANT PlAkcSK J�•NG' PEtONC N <br /> ADDRESS ? V� .-;N -- <br /> pt►UNL' NO —.– <br /> AGENCY NAME <br /> ADDRESS <br /> # * 4#*# # ## * 4* # ### k## ##*## if k# **# #*# * ##**## 4##* *#*** ##* **# * * 4 * k4 # * 4 4 <br /> 13(IS INLSS N11MtiL �tzu�rnrl_i))t <br /> ?L <br /> f5 • t"C� <br /> --- — <br /> k 4 4 * * 4 4 4# # 4 # 4# k k 4*# k# k#** k # 4 k ## 4 4 4* k k 4# 4 4 4# 4# k 4 k 4 * * * 4 4 4 4 * 4 k# <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DISERIVOICE ChoARGEICY RESOLtU�ONS, STATE WA707, ORDINANCE C0R CODE. <br /> DE OF <br /> SAN JOAQUIN COUNTY, END FEE A <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 2. ruBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY: APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091460-3420. OFFICE HOURS HOLIDAYS, fl`00 AM TORAPPOINTMENTS12:00 NOON AND1 00 TORE SCHEDULED N1N10rJDAY <br /> THRU FRIDAY EXCLUDING <br /> 3. A PUBLIC FILES/RECORDS.RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED INTHE SAME APPLICANT.A THIS RECEIVED <br /> WILL ADDITIONAL <br /> E <br /> CORRECTED BY T1 IE EHD STAFF AT THE EXPENSE OF H <br /> SERVICE WILL BE BILLED TO TME APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REIViOVCD FROM THE EHD PREMISES. <br /> . . .. ... ..... .. .. . .. . <br /> 0 ...* .. .• •...... .. .. . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . <br /> SIGNATURE OF APPLICANT --- DA I-E do <br /> 1GNA TURE OF RELEASING OFFICIAL —DATE - <br /> El 00 14 (REV 9/9S) <br />