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63/22/1939 02:66 31636111Y. <br /> Q -G 41 J <br /> SJAN TOA.QUIN COUrJTY <br /> PUBLIC HEALTH SERVICES <br /> 3sNVIR€m.lr,tdTAL aEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AI7PLICRNC A PHONE NO 17/4 t2'-9101V <br /> ADIaRsss /04 1A <br /> AC.ENC'Y NAME _PHONE NO <br /> .ADT)RESS <br /> FULL ADQREUa N$1NESSI$14EL RRO;n3RAM Or& <br /> PA <br /> 5 <br /> TYB LL <br /> 2 <br /> � ./ <br /> Pto /!�n .' �ii1f"4? �01�3 <br /> 41 ;, <br /> J JEIPF Z I L <br /> 1 <br /> _. fr,r yr-x-c k ak+ieit iF�r t�t i ie ir�r-!^+t�r-,tir,rr,t#+}�'Jr ak.►_tic��**�',k Ar 1e,t dr-e t t�'1r 4r t x t 4++t_.r yr�r,r-t! - —-- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISI{3N (EHDI POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE COCE- <br /> 1. A MAXIMUM OF UK= PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS FIEVIEW IS BY AP-"jt4TNgMT ONLY. APPOINTMENTS ARRE PROCESS- <br /> ED SY CALLING (2091488-3420_ OFFICE HOURS FOR APPOINTMENTS ARE bi--ItQULED i',"OI�aw" <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOUN AND 1:00 TO 4'3O P%,4- <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION JPRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN TH5 SAME CONDITION AS RECEIVED ViliLL BE <br /> CORRECTED BY THE F-HD STAFF AT THE Expr-NSK F THE APPLICANT. THIS <br /> SERVICE WILL BE WILLED TO THE APPUCANT FOR oAYMENT. (SEEEHO POLICY ADDITIONAL� 0071 <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE E;HD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 99 <br /> SIGNATURE OF RELEASING O C DATE <br /> L <br /> EH 00 14 (REV 9/961 <br />