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I I—✓JI- yL'b [JDYI`l I'Y(lii•i' f'll': aIVIJ_ ae.rwV.Wmoe- —/] <br /> ., �� •c•us i• rwi � IU I54y423 P. -f . <br /> 01-9, flT4TAL Ht <br /> -RVlC <br /> 96 NOV - <br /> SAN JOAQUIN COUNTY . uI <br /> PUBLIC HEALTH SERVICES <br /> 3"TRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Leh t)e L,o til o PHONE No 4.v <br /> ADDRESS f'O 3oX fd7 /3G S. ri�s� Oakd9S36/ <br /> AGENCY NAME rr/y�j ne. PHONE a0 <br /> ADDRESS <br /> FW j, ADDRESS BUSINFSS NAME PROGRIM OR <br /> FACILITY TYPE OF FIL$ <br /> -•Q 'f0.f N. p�rFlc Av6 YM!>AeiE CAR WAS(r �`�1���,_�ncf <br /> h5 I/ K eClflC. uE. gRed 1,97-.0 v cmerg�cave r�sFx>rs< <br /> 8M•rC/{r Aq rr on+J 6�4E unkrloij^ Cmu ¢.�..cTlzsb SC. <br /> Le4Kin� ark <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC}HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF <br /> SAN JOAGUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF THY IM PREMISE ADDRESSES PER REQUEST <br /> 2_ PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468.3420. 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 (PRF-AJ IS RE("RED. <br /> 4. PUBLIC FILESMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE E140 STAFF AT THE EXPENSE OF THE APPUCANT. THIS ADDITIONAL <br /> SERVICE VVILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94-007) <br /> 5• ORIGINAL PUBLIC FILESlRECORDS SHAH NOT BE REMOVED FROM THE EHD PREMISES. <br /> .......•........•. ••......... •...................................... <br /> SIGNATURE OF APPLICANT••• DATE // <br /> SIGNATURE OF RELEASING OFFICIAL OPS <br /> Y ' <br /> E14 00 14 (REV 9196) <br /> . TDIFL P.91 <br />