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--i <br /> J1 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION N <br /> PUBLIC RECORDS RELEASE APPLICATION "j <br /> APPLICANT (A. OYV PHONE NO 20q &o4- ` 3�0( <br /> ADDRESS Z N. U5-VM I rY1f <br /> AGENCY NAME Mol 101 h6y� 4 T}c,�OOC PHONE NO 706) - <br /> ADDRESS_5Q I gyp_ <br /> :r��:r�******,ri<•*+r****,rti,•:r*#***i,•,r,r,r+,rx*#+�*:r*****+��,r,�:r*t**r*�*i,�**+ <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> w��P° 1 h4 rlt n G rai, - Tose 5 M 'ss-,D- i <br /> l k�A 119 YD DCYf a -o <br /> SOU f�. I,(SlA 1'r�2 TI �i12G n (�UeY1�S„Ft1Yr1 Lt 3� ,r <br /> (5J�D 1t-P'.'"CVJAl IP.0 'IT"VV NW ll L�22�I IN! SVA 1%�_�A `)f a(, KA I <br /> r1 ( (_. ' fVvt;e^ rA SICU a re"C wrm PI�nP �` ( KA&A <br /> 12n 1 )2c( A W��d .�GGX�t - <br /> 'Kti <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY X94-007, 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 TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .......................♦ ♦♦.......4r.................... ♦............... <br /> SIGNATURE OF APPLICANT DATEAoZ-S 1I <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />