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'09/11/.2002`: 14.48 2094683433 FIFTH FLOOR PAGE 01 <br /> 3 <br /> r <br /> DC ` _v E V <br /> = K SAN JOAQUTN COUNTY <br /> PvtLIc REAL sElxvxCEs SEP 12 2002 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC P,:EcoRDS ,P_2LRME APPLICATION ENVIRONMEN f HEALTH <br /> r�p>?z�zcA�vT -1"4 5 E ;r enc, PHONE NO 530-b PF�11 -SERVICES <br /> ADDRESS 3p Ca < r, 5r' R °l <br /> AGENCY;"NAME 2HON'E NO <br /> • <br /> ADDRESS <br /> *u- <br /> F JL��JaRSSs B_ INI?sS NAMs/ ?RoGR <br /> EACZr.tIi TYPE_„OF PILE <br /> y I�tq+� .Sou L,ncoln 5#fee# 5 (m 61 k T <br /> \f V V 14DW G! $ G aCD U <br /> . , N <br /> w7ri1•-kt�iC;tom*Irwit*•hVeir•kytit�t'kx�•kit•txx#'k'k#ieiex#ii•,k•kikkYtw•**yt*ic�t•*i+*�tMe**t#�e:Yc•*�r# <br /> THIS NO"I'IGt: IS Sua,iECT TO THE REQUIRE=MENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES'ENVIRONMENTAL-H5AL.TH DIVISION (EHD) POLICY 494-007, 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 1101 PREMISE ADDRESSES I RL°OUEST <br /> •-ti <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPQINTNiENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CA _-E(2491468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> 'THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS.RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLLC.FiLESMECORDS NOTAETURNED IN THE SAME CONDITION AS RECEIVED WILL SE, <br /> CORRECT50 BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE.BILLED TO THE APPLICANT FOR PAYMENT. ISEE El-iD POUCY S4- 007) <br /> •5. ORIGINAL PUBLIC FILESIRECOROS SHALL NOT 19E REMOVED FROM THE EHD PREMISES. <br /> iy♦�1��♦♦ '�.�•►44•0 M.�f«t��. r r �•�r6 •'��i.w•�iii M•�.�i•as•��•�•••������.�w.w�rr <br /> tr <br /> SIGNATI),PC OF APPLICANT l� r� OATS <br /> SIGNATUEtE OF,RELEASING OFFICIAL DATE <br /> EH 00 14 REV 9/98) <br /> a ly <br /> Z0/Z0 3Btid JI-1VO ON snit/as 90099L90E5 L9:L0 Z00Z/ZT/60 <br />