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1 cl s is <br /> ---09-30-1997 07 35PM FROM TO 2687126 P.01 <br /> � ..r'I_��I r <br /> l - <br /> SAN JOAQUI14 COOTI-f <br /> PUBLIC RHALTH SERVICES <br /> ENVZRo&6MKTAL HEALTH DIVISION <br /> PUBLIC /�R�ECORDS RSLHA-SE A.PPLiCATIoN <br /> Ak'P ICA= auow-'-' PHONE NO Z - dL <br /> .ADD SS - . <br /> AGE CY NAIL P NO <br /> Annr;~rsS <br /> ADDRESS BUSINESS OR <br /> � p'ACIL='I'X TYPB CF�'z.TsR. <br /> L) t!1 <br /> 3 L4 <br /> u t T <br /> _ � <br /> LJu <br /> 57 <br /> S, <br /> �$i rlli*it #iil'i +t## tYf*Rtfi**'k* 1r wYAXw• Y 7YYtYf*'iP'R*Y�#7F_ _7 'k t6T <br /> l SUS <br /> THIS NOTICE IS SUSJECT TO THE REQUIREMENTS IOUMFIED IN THE PUBLIC HFALT14 <br /> SERV`CES1F.NVIRONMENTAL HEALTH DIVISION (EHDI POUCY 094-007, ORDINANCE CODE OF <br /> SAN JQAGUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVf�NMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF 3M M PREMISE ADDRESSES PER REQUEST <br /> 2. P CLIC FILES/RECQRDS REVIEW IS BY APNOWTII�Ealt7'ONLY.. APPOINTMENTS ARE PROCESS- <br /> ED . CALLING (209)448-3420. OFHCE}LOURS FOFt APPOINTMENTS ARE SCHEDULEr MONDAY <br /> TMRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12-N NOON AND 1.00 TO 4:30 PM. <br /> 3. A:fSuc F11 E8/REGORDS RELEASE APPt tGAT1QN (PARA) tS RFOLM%M. <br /> 4. PC FILES/RF-CORDS NOT RETURNED IN THE SAME CONDITION AS.RECCIVED V`rILl BE <br /> CORRCTED BY THE EHD STAFF AT THE EXPENM OF THE APPLICANT, THIS M01710NAL <br /> SERVI�E WILL BE INLLEp TO THE APPLICANT FOR PAYMENT. (SEF EHD POLICY 94- 007) <br /> S. 04ICINAL IIUPLIC FILESIRECORDS SNA OT BE REMOVED FROM THE EHD PREMISES. <br /> +A0 <br /> Cl•'f•ia+iaitf•+i• ♦* afa♦ •a a.f l.i T l T f i i i.f f a�4i t • •�♦ aaa <br /> •fii •i��+ d <br /> SIGNURE OF APPLICANT DATE �o <br /> 5IGNATURE dF RELEASIN OFF) <br /> EH OCt 14 (REV 8188) <br /> 1 <br /> 1 ' <br /> ` ( TOTAL P.01 <br /> Tri QLJ C H1 t-tUNTMl :L"-.4 kp:%l )r, W-,4=1q. <br />