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a <br /> L Gy. ''Gllj Tv ,`JH.:x.lb?d`r e-J2 <br /> 11-44j,-1999 11:47AM FRU1 <br /> IL <br /> SAN JOAQUIN COUM <br /> PUBLIC HmTH SERVICES nen <br /> 5 HDiVIRCBMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Q �sa•� Drt"I.S� Pry ts0 9� -�taoa <br /> APPLICANT <br /> ADDRESS Mon <br /> AGMCY NAM PHONE NO <br /> ADDRESS <br /> �c*,kirielrde4*ie4•kftk*�rtkArwtk*w�l�****tttt#t�'##*s=*x*xtit,rt�Rk*tt*ttttyryrt•Y' <br /> $t1,SIN$ss z L l)&QQHm <br /> Ems' uarTT,TTY T SPF OP_-,._F_IL <br /> vct,t##ttttiP4t*t****#*###t:axrxxycwxwx=xa,r,t�*t•t****t*:**: r,r*#*#t*ttt <br /> THIS NOTICE tS SUBJECT TO THE REQUIREMDiTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESfENVIRONPAENTAL;HEALTH DIVISION (EBD) POLICY 1844307, ORDINANCE CODE OF <br /> SAN JOAQLRN COUNTY, SHO FEE AND SERVICE CHARGE RtSOLUPONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODL, <br /> 1. A MAXIMUM QE IM LW PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY A=j=E 'ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (20914684U20-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 RECIU'Rlho. <br /> 4. PURI3C.FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WALL BE <br /> CORRECTED BY.THE EHD STAFF AT-THE EXPs:lIMSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE SIL.LED TO THE APPLICANT FOR PAYMENT.(SEF EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FIL.ESIRECORDS All. NOT BE MOVED FROM"THE END PREMISES. <br /> •t*w*i•••*�*r•a.ar••• s••• . . • ♦•a• .•••••+•...•.*• • ••.•wk•t*taaa <br /> SIGNATURE OF AFOU <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EN 00 14 (REV 91'861 FAX (209) 464-4138 <br /> TOTAL P.02 <br />