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APPLXCANT_ <br />111?iJRESS—t�s <br />AGENCY NAM <br />ADDRESS <br />SAN 70AQUIN COMITY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />,._ <br />Al ....n ^ NO. C4Pi'2t/q 0s? <br />Io <br />NO <br />}#i **! * *.* * 4 •tt*4�r4 ***fir •}Jrt *###'*t* *+r** k** k**�'** * k#-*tt t #** **,Y yY*4#t# <br />BUSINESS NAME1 PROGFZAM,� <br />FULL _AE DP.ESS EACILI T� FB OF FIL <br />ra f 1¢ I,� Ji ati- "dj <br />illL ;.r m-: <br />R i P'f AN7 <br />..1, + <br />a • rerf rr�a�v<<cr <br />Pilar -I <br />Ae.e. <br />I <br />n <br />tt}Prat*ett#*tt�r,t*tt,rt,rtrr+#*##kt***#t*t*xr,ttt#*+t*tts#**,►****+r** <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />_ <br />SERviCr:SIENVIRONMENTAL HEALTH <br />DIVISION <br />POLICY oORDINANCE <br />ODE OF <br />SANJOaQV NCOUNTY,EH0 FEE AND SERVICE CHARGE RESOLUTIONS,STATE WATEER CODE. <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN jL03 PREMISE ADDRESSES PER REDUEST <br />E. PUBLIC FILES/RECORDS REVIEW IS BHOURS FOR APPOINT MNTSOARE SCHEDULED ONDAY <br />INTMENTS ARE PROCESS- <br />ED BY CALLING 1209!468-3420- OFFICE <br />THRID FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM: <br />3- A PUBLIC FILESMECORDS RELEASE APPLICATION IPRRAI 15 REQUIRI=- <br />,t. 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 <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 007) <br />5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />............. <br />DATE <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFF1Ci �' )L'd� V DATE <br />EH 00 14 (REV 9/96) 1 <br />