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t SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> E,NVIRONN[ErNTA,L HEALTH DIVISION <br /> PUBLIC RECORDS RELEML APPIICATION = <br /> ! AF' CANT .r PHONE <br /> ADI3RESS_ // / C u�z icC� TQC- 1- �o� ; sc��rl�m C :9�rsC6 - <br /> AG INCY` NAME L35� / ssee:is tis �PHONB NO s«•�t. <br /> ADDRESS <br /> F11,9 AnDE <br /> x, D AQW01 <br /> 375 j%rac �ufer;� :vl-n•rc UST Ccflrss,�Yx��io�r' 0-11C-7 �Y , <br /> s75 cU.Gr�rJ,f L1.r,P � jrz•c Naz- GG�r_cru�•ta -. :. _ 4j <br /> Y . Gnrr.t Like ,elf. Trac :. <br /> sYt Grcr.:r'G•;ce 12c1 rac E <br /> ?s r q• 77zc yr T3✓vd- Trcrcv IV i <br /> i:�y t{/:G��•• G.•ri moo! TrFr� N ►QA U1N C <br /> ,/SO 7�trcy /llac(! TH ' i0N <br /> %jug <br /> 7t f ru�irrrr f (�sra ,�; jrzrc�. ;f:•. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDWTIM M IN 'i='PUSIIC' HEALTH _. <br /> SERVxCES/BIVVIRaNMENTAL HEALTH DIVISION(EHD)POLICY#'92'W7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS;:STATE WATER. CODs,_ <br /> GOVFRNMBNT CODE AND THE EVIDENCE CODE. F. <br /> 1. = A MAXIMUM OF'FEN'(10) PREMISE ADDRESSES FER REQUEW <br /> i 2 ' PUBLIC FLLFS/RECORDS REVTEW ARE BY As <br /> ARRAINMED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOMMEM' ARR SCHMULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 13x00 NOOK'AND I-W F_.M:TO 4:30. f <br /> P.M. <br /> 3.. _' .kPUBLIC RECORDS RELEASE APPLICATION AND A <br /> 1S REQUIRED. DEPOS>M WILL BE RETURNED TO THE APPLICANT IF M J <br /> NOT AVAILABLE wrrW t.THE CUSTODY OF THE mm. <br /> J1 - S t �- - 'r R•5 h j ' ' <br /> 11{; a. -:,, ,THA ABOVE MEN'I`UgM DEPOSIT 13 APPLIED TOWARDS-THE'I'�TA'�:��'ILB�RSVI�� PEE- <br /> CHARGM THE BALADTCB OP TNF& CRARGES ARE DUE AND PAYABLEp$jQ 'IXI'�G Tx> <br /> 1` DOCUI4IO1'I S) <br /> 'PUHISC F7IFSJRECORDS NOT RETURNED IN THE SAMECLINDi' 4*:; IVRL BE.. <br /> CORASCI'ELI BY THe mm STAFF AT THE EXPENSE OF`THE APmCANT, �j;='ADI71'TiCINALx <br /> SIItVICFT WILL BE ;TO,THE APPLICANT FOR PAYMENT <br /> 6. <br /> fA` 0RXGlNAL-PMC ff.ES/REC0RDS SHALT.NOT BE REMOVED FROM'I�EHD PREMISES °- <br /> � � <br /> SiGNATURB OF APPUCANT — DA .Ts <br /> ..,. SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) - <br /> TOTAL P.02 <br /> --A -— :: <br />