Laserfiche WebLink
_-q" NO. : 2095690295 <br /> F 2 <br /> \ AQUIN COUNTY <br /> SAN "O <br /> 99' OVED ..,l,' -17 -_AL REALTH DEPARMWIENIT <br /> OCT 3"d Floor Stockton, CA 95%M <br /> 38 Web.,www.co.6n- mqi�n�,,V&usioh <br /> 14EALT , , ;,­ 1- -, `'`R"'` X38 d <br /> pEmv n;,F".c POE-C 01ARDS RELEASE APE' PCAT ION <br /> iF <br /> Ye <br /> f:At�FRMILE, _4 <br /> is,�-<wz dalm ftem date of <br /> E <br /> M_�_ us P <br /> . �,1,1_:Caav ROCESS s4ljil.:u PAYS <br /> D <br /> _Z!2� A7R <br /> city 7r-,r4 C> <br /> Y171. <br /> CRY I <br /> T� <br /> OV <br /> 711MM 1111f� <br /> HEALTH DEPARTMENT FILE$ <br /> Q ROUSINUMATEN $01-10 WA;�-"M ft,�-Ar <br /> FJ4 r <br /> I'] FOOD FAQUrY S 011-1 D 1FIA37 E l._: 1 <br /> u '! DOG Kr <br /> X'-,TANK F_ _-NNEL 04 Mpy <br /> 17 MOTEUMTEL 0 PUWPERFRL;C,11$ <br /> MOUSPA <br /> 7-1 WilDIMARN CA <br /> C MHER(PLEASE$PEG <br /> :A <br /> QVD, Select the type(?Qf fllas F�'Om trig'il -1���.R <br /> X 41' Q-ql 1, electad. Faxt <br /> _ -W. type MUST be m )(209104 <br /> L X,D = i 77 f, I P i . :ni.i any files exist, An appQintmnont for ievfw';W "j 17 <br /> ilvi iield iater than ten(10) duys;�l ras�*lpl%:If tq,!: <br /> �;,U'Anuss days for review. Appointm v pits sh uMk <br /> 7JJ� !-4'j-1 -A 1: i bVEHD staff may not bQ immudiataly <br /> .- q <br /> Ippdir.,,i;.1I' - - ij 'ti11 fele Is available. <br /> 4, p­ ]E� Zh 1, P n <br /> I C u 0 ube <br /> F1 condition aS Mleased bill!be re_VMWI�Ted by Ef K) t XP <br /> vle3yf.icy the same zppjji;ant may requiro n$93,00 del-of;- <br /> lie confirmad with EHD <br /> 00 be processed the next day. <br /> FM INITIALS <br />