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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE "APPLICATION <br /> APPLICANT m. f /' PHONE NO f/,) �`J.T— 072 <br /> ADDRESS� ' /l e o <br /> AGENCY NAME HONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE, <br /> JF ,,t u! r �..� Y�3v Y6o r1 Yy ��l <br /> a k c- =SGG. <br /> ��u► i Iz� a��-�fit. 1f �Ff- ti ''""G � °4 G i- 1 <br /> b'-K''l f ht L.'�- 41 Frr•,"4_C..Y <br /> o 'l fill Oueng da I .k t2m,4 vey , y 1,P I O <br /> y g4Z,.1I <br /> f�{i,r_l zL RA u v V" c✓. �' 2'a.0-�/ 4 610 - f�.j G <br /> A <br /> I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, 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 i?o1 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 APPOINTMENT'S ARE"SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> i <br /> 3. A..PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRAI 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 2 <br /> SERVICE WILL.BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />