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ll4/11119'37 13: 10 30398. 39 t'it•ri urt r_rrrar.s'nr ,a . .•-- -- <br /> 04-11-1997 03:06AM FROPt <br /> TO 13839000Bg4 P.472 <br /> Z0 eIfvK RJtu�2iJ <br /> I SAN JOAQUIN COUNTY (, I <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS F.SLEASE APPLICATION <br /> APPLICANT �C �lGsnw` d ti/ PHONE NO <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> r�rrwra+aha# rrwrrara ra*#*ra+a+arrrr#aaaww#t#a##w#r##r#;;#tw#+wa rw <br /> ggLL ADDRPSS WalNESS NriME/ PROG3taM O� <br /> :��lCr.kitl� �CILITY TYPF�; OF FI>�F <br /> 7J_ Lf'in . C v5a .7 nif r <br /> k ,0—� 7e2 <br /> (( <br /> i �yl�_F1lir .l is f1 ..�� "(Sa�["-1 i"n LCr,_cmn (�•1 1St � �-.�IG.�Sa"I ihYC 1.1:T/C�.C:Pi '�= <br /> U q�-.ZG4 she 41 <br /> +,,��4 1=1 f]^� :.Ir�l LS �y7CU �3•P.t++ CSP AP''�,�Pt:l1 P4.�. .�- 3to5j UST�C!`KTt=`f <br /> 77iI Thnynl.-. Frl tido} =t,: , tan Sw•I�Syr ti[. (�t•►�a• _ U1Sr/CO✓TF'.F. <br /> qL Clo mnC SSt. '4Sjor'i ' rt-rrt• k 35 LUST - <br /> �$In Thm-alo' D . 307 slntnt `rLk DyJT.t <br /> SPP_. ticnC'4ILIcw7PXL . 2S aSs I/lc L.t1S'1�I CC•PTFa.F. <br /> ,_ `i It` .Ll_ I '`nC tr.rvve k `fiiJo `.hn It 'r4- 7S?4 L�e"A,,.+'Sdbilvn4tr— <br /> Illr.: Felt_ Arrr,_bi,- y 1? R•;3; gl Ltpr_rH 6d'!dt/, <br /> ri rfrlea wa##aiarrr#w rrrfrraa!*arca**a#waw ra+warwr#ra*afar##a#;*w+ <br /> THIS NO rICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94-007. ORDINANCE CODE OF <br /> SAI JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I.. A MAXIMUM OF M UM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILGS/RECOpDS REVIEW IS BY APPOINTD!9 TT ONLY• APPOINTMENTS ARE PROCESS. <br /> EO BY CAI LING 12091468-3420. 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 PfA. <br /> 3. A PUBLIC FILESIRFCORDS RELEASE APPLICATION lPRRAI IS REQUIRED_ <br /> 4• PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL 6E 81LLED TO THE APPLICANT FOR PAYMENT. 1SEE ENO POLICY 94.0071 <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ......_..... ......................... ••••-• <br /> SIGNATURE OF APPUCANT� ;*1�:, ;,r,• � �ay; J' , GATE <br /> SIGNATURE OF RELFASING OFPTCIAL DATE <br /> F44 M) 14 IRFV 91961 <br />