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V01-28-1997 10!47PM r FR� --__ -- _ TO • 17144276161 P.02 - <br /> SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> kyr. 4A- _ok' Lh",l <br /> APPLICANT /;� e%Vy/AwJAr?A+ PHONE NO 7/4 107 (0(60 <br /> ADDRESS 3G31 15ofi 4r?wBda- is W l> 13u tri /00 S ix , L'A 4 z 704 <br /> AGENCY NAME PHO B NO <br /> ADDRESS <br /> t to kaiak#iai+aw+wi iwiawawi+iia+iiita#ia+#,wiffartaaarra+afltaaar+i <br /> FULL AbDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE O/ F LS <br /> 01.4751 - y7°J9 Phelt'ic /kAMMI " Awnik- 65"Zgu- <br /> sracz�a,.' CA <br /> '35• s� ,Ctrs <br /> sao rrG c� 5s�h¢s - P�e'74acct✓P� " <br /> I .D• W 37507 <br /> 47,1Coc'7e flux:•. <br /> 37ve�e ra74 eg �TiT T7or3 #0961 m �.n i s�rc- <br /> _ <br /> ttttiiiti#itt#a#a#twtiitit#+tt#3#it###iliiitttttw#tttttwt#;titin <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHO) POLICY 9941007, ORDINANCE CODE OF <br /> SAN JOAQVIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE <br /> 1. A MAXIMUM OF TEN IM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC RILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 13Y CALLING (2091468-3420. 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. PUBLIC FILES/RECORDS NOT RETURNED 1N THE SAME CONDITION AS RECEIVED WALL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. #SEE EHD POLICY 94- 007), <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...................•..... rw.w... .....rw...............,...........♦.tt..tt <br /> SIGNATURE OF APPLICANT, DATE 97 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9196) <br />