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J UL CC 71 11 GOh•II I JVI ^ Ii\ �rw .. 0%3 <br /> {. SAN JOAQUIN COUNTY <br /> ;':.. .� PUBLIC HE{I,LTH SBRVICFS I �; <br /> 3NV'II20NMRNTAL REALTH DIVISION <br /> � . .; PUBLIC RECORriB RSLXM2 APPLICATION <br /> ' ! APPLINB NO 466-5 11 <br /> ADDRESS 2-4 A F FrcTnr-trL4: <br /> AGENCY NAME _ _ PHONE NO <br /> ADDRESS <br /> +t+t,rw#•�R�+►#,rtw,k+k#+*•rwirtiYrtak•irlrss*stir,Ukx*s++r•4+M*#�tfa•#tw*•�ftt,trktf**ir#i <br /> s <br /> ADDRESS RUSI PROGRAJ�! oR <br /> f tTT,T TYPB OF FILE <br /> 4227 Pacific AyQ==a =kton' 'rj-gm"'` ,Y�° �• '..r- � <br /> Ar nnlrSbri m school - ' <br /> Gra -- <br /> i ?-so Mani 1 a Rd T.a f-hrov ;I <br /> F g0Manila Rd,- tathron <br /> 7QQ Manila Rd. Lathrop <br /> 1601 Fremont d. Stockton <br /> t 1301 Fremont Rd. Stockton <br /> ton. <br /> I� r <br /> _ ii i f,rwt•**it+i�► M•Y*�FtY�t*rrttik* l�' !* Ir*i4i# Yyrie*•i!•kir**M*f#:!•k•k�tF•rEF;+a•*•kih•kFkit'*ik•k� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTI#+IED IN THE PUBIJC'Hl:ALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94.007, .OADINANCE CODE OF <br /> SAN JCAOVIN COUNTY, FHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER COD£, <br /> I GOVf:RNME7HT CODE AND THE EVIDENCE COOO, <br /> 1. A MAXIMUM.OF_Ti!tel PREMISE ADORESSES PER REQUEST s <br /> i <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APE61MMem-r ONLY, APPOIH�TME OTS ARE PROCESS., <br /> ED 8Y CALVNG (2091468.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 Anil TO 12:00 NOON AND 1:00 TO 4130 FM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRkO. <br /> +4. PUBLIC FILES/RECORDS NOT RF-TURNED IN�HE SAME CONDITION AS RECEIVED WILL BE j <br /> CORRECTED BY THE EHO STAFF AT THE EXPE1fISE OF THE APPLICANT.j THIS(ADDITIONAL <br /> SERVICE WILL BE BELLED TO THE APPLICANT FOR PAYMENT. (SEE.EHO POUCY.94-007) <br /> 5. ORIGINAL PUBLIC FILESlRECORDS SHALL NbT 8E REMOVED fROM 7'H>E E1 PREMISES. <br /> ': II a+.•...wb��.��aa•�����•�s•�• a •��a�a+��r1►sa♦.���s•�i�s♦*���i r7�t+icy�. . <br /> SIGNATURE OF AFMCANT _ . DATE 7-?:?•~�•-7 <br /> 5VGNA.TURE OF RELEASCNG bFF1C1A1. <br /> ' EH 00 14 {REV 9!961 <br /> r <br /> Tf1YN r'1 A+ <br />