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SAN JOAQUtN COUNTY ( I <br /> PUBLIC HEALTH SERVICES 4�GG,hu� 7f%tea <br /> ENVIRONMENTAL HEALTH 1)"ION <br /> PUBLIC RECORDS RELEASE APPLICATION wluio <br /> APPLICANT IT9��(4j- (& PHONH. NO r/o <br /> ADDRESS <br /> AGENCY NAME <br /> PHONE NO <br /> ADDRESS <br /> ' I <br /> LEAD AIGTENC DA <br /> I <br />. o : Zyao GVGIn+ Ly+u Tetti 0 C./ I i; <br /> sf<yF 0 % AV 50 , <br /> 7r3 — 7 v,� viL GgtW <br /> iTo2D <br /> 64 &7yv �G�fvocc �(r <br /> 1 C) ag 7 .-. 1- 0p I <br /> f, P Cow4 F /Jl//uw c� /3 ro- RJ Tr4r �7w 4 c R f x7. <br /> THIS NOT1C 19 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC H13AL <br /> SFRVICEWE VIRONMBNTAL HEALTH DIVISION(1114D)POLICY#92.007,ORDINANC13 CODE OPS N <br /> JOAQUIN COUNTY, RHO FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODh <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. II <br /> L A M lrIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. i <br /> 2. PUBLJc FILES/RECORDS <br /> REVIEW <br /> ARE BY APPOINTMENTS �E <br /> ARRANGED OY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TH U FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. I <br /> 3. A PU UC RECORbS RELEASE APPLICATION <br /> i' 9S RI?Q EPBSIS78 d9 <br /> . 9Rb9�fi- <br /> i <br /> 4• IgSN1Y>3fED-bBP991-'f-#&y1FP1,tEI3-T'9W�4RD6-�l1E-T'+�YI'�-PIIrE-RBVi <br />� H'D'RE IdCB'BP_7""ffARG&SAR2,DLIB. N <br /> 5. PVBI ILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />}` CORRECTED Y TH13 EHD STAPP AT 7118 EXPENSE OF THE APPLICANT', THIS ADDITIONAL <br />( SGRVICE WILL BE BILLED TO TH13 APPLICANT FOR PAYMENT. I <br /> 6. OR1GI�lAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED PROM THE EHD PREMISES!. <br /> f , <br /> SIGNATURE OP APPLICANTbAI <br />{ , 7'� ZZ s <br /> ' SIGNA'1 RE OF RELEASING OFFICIAL DATE I <br /> I I:II O I (REV 12/92) <br /> - _ TOTAL P.0 <br />