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. L <br /> .�T�-1539 11:04 F:" <br /> r4�7M WY�C-f <br /> TO 13OM22909: P.@f <br /> Q9= a 50 <br /> SAN JQAQUIN COU]N-Ty <br /> PUBLxC MEALTH SERVICES <br /> ll t ONMHNTAL I3BALTH DIVYSZON <br /> PUBLIC RECORDS RELSA,SE APPLICATION <br /> APPLICANT 1 PHONIR NO <br /> ADDRSS:3 <br /> AGENCY NAIL ,r o <br /> PHONE NO <br /> A17DSS <br /> pA� LxTx <br /> TY, O&' PZr R <br /> ` 57 <br /> wt*1Mtk#*t7tlf5F7l7Fk#f�tYFF��kirslr'kyte t*yt1t�4�k1ft3'Y�*t�vl"�;ik#'F*#if#��t'Ir#'!�# Irilr�t <br /> THIS NOTICE IS SUBJECT Tp THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHb) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CQU6, <br /> GOVERNMt-NT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF M LM PREMISE APORESSES PER BEQUEST <br /> E. <br /> ED PUBLICCAFIL$S/Rr:CQR.DS REVIEW IS f3Y A@EQMlK i nM APPOINTMFNTS AAE PROCESS, <br /> WING (2W)"8-3420. OFFICE HOURS FOR APPOINTMEN'T'S ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12,00 NOON AND 1.08 TO 4.30 PM. <br /> 3. A PUBLIC FfLES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILEWRECORDS NOT 14ETURNED IN THESAMECONbITfON AS RECEfVEO WILL BE <br /> CORRECTED BY THE Fa fb STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> SERVICE WILL BF BILLED TO THE APPLICANT FRR PAYMENT, (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TIME EHD PRE>wIIISES. <br /> �awP*}}aisaa♦tea-�fwAi4ilAii7f� <br /> ♦fwwi#{►}}}�w�a�iwiii+tt#sa♦•s• •aaiiiii�aa.!• <br /> slcruAXUR>~ OF APPLICANT <br /> DATE <br /> SIGNATURE OF RELEASING <br /> FH OO 14 IIREV SM) DATE <br /> 1?AX 209 464-0138 <br />