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7-07-1998 8:24AH FR&4 PACIFIC SACRAMENTO 916 858 2355 P_ 1 <br /> e7=5'7F'M FROM. - TO �2635023S5 P.0/2 <br /> -�-l�'lr' Ci-LLct7 <br /> i . <br /> SAN JOAOUIN COUNTY _ _ - . " n• <br /> PUBLIC NUALTIf SERVICES J "" <br /> i SNVIRONMPNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AFP .`.CAN1'�('�I !1, E`j 6up PHONE NO <br /> ADD ESS <br /> AGEPiCY NAME PHONE NO - - <br /> ADDRESS ! 3) 5 �u,,r ��. I mflrbp��'f e• n ,e 45 1fa <br /> !4v*ivt!*;*Y•**t**4v'�Rke4v**r**k*kk*v4 YM RYi•k*k*t*441 44 kAi vtv flr et rif Yil <br /> FULT) ADURESS DUSIN5S5 NAME/ $1�QS3.72A44 OR <br /> FACTL.T'r( ( TYPE OF PTLD <br /> - ct <br /> e2 I�� o ) 02CA zaa +*rel u:S <br /> ++.t�..t.rsr++sr.♦x.rr♦ rxrrr*rxxrrx <br /> ........... <br /> THIS <br /> rx<t*rr+x r.r <br /> THIS NOTICE IS SUBJECT TO THE RFOUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVECESIENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94.007, ORDINANCE CODE OF <br /> SAN Jr0AQVIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> i <br /> I. A MAXIMUM OF TEN LJ PREMISE ADORE3SES PER REQUEST <br /> 2. PUBLIC FiLESIRECOROS REVIEW IS BY RPP�fNTIVJEIJ7 OItlLY. APPOINTMENTS ARE PROCESS- <br /> ED 9Y!CALLING 12091468.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRII FRIDAY EXCLUDING HOLIDAYS, 6:00 AM TO 12:00 NOON AND-l:00 TO 4:30 PM. <br /> 3. A I7VRLIC FfLESIRECORDS RELEASE APPLICATION (PRRA) IS AEGUIRFD. <br /> 4, PUBLIC FILESIRECORDS NOT RETURNED 114 THE SANTE CONDITION AS RECEIVED WILL BE <br /> CORRqCTED SY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ ISEE EHD POLICY 94- 007) <br /> 1 <br /> 5. ORI WIAL PUBLIC FILES/RECORDS SHALL NOT SE REMOVED FROM THE EHD PREMISES. <br /> ..... ..... ............ ............... .................................. <br /> SIGNA#URE OF APPLICANT � ATE_�_ry9R� <br /> SIGNATURE OF RELEASIN FFICf DATE_ <br /> EH 00 y4 IREV S196i <br /> i <br /> '1. <br /> i <br /> i <br /> � . <br /> . � TOTAL P.02 <br />