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b-27=I UY8 Y:IddAM - i-i 1-HLirt l I-1-A i tt_�- =1 o°=.lzi' e-t 14, <br /> SAN JOAQUIN COU[` ry <br /> PUBLIC 11SALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELHASE APPLICATION <br /> Appt,rcbwr : >io>v> No _z/& -939- z70 <br /> ADDRESA c1,fn �6rr no rezd& ,_ �s - 9576.2 <br /> AG r_NrY NAME PRONE NO <br /> ADDRESS <br /> #Y1*# i# 1t1# **'i ► *t'k#R##* k#*####i'*##t##'R#f 11###i*}{f***#****{***# #lt#* <br /> EULL QURESS PRS OR <br /> FACTLI'rY c p- TYPE_ OF FILE <br /> 1l,, ) :zSLn <br /> 11:a �_ till. I�F4rnmlr LQn � fjrmJr _" arvlc4 57" <br /> 4 _` ,-� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES,/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 094-007. ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, ENO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE- <br /> 1. <br /> ODE_1. A MAXIMUM OF TEN U1 Qj PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPQINTMgL4 OptLY_ 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 F-ILESIRECORDS RELEASE APPLICATION (PRFIA) IS REQUIRED. <br /> 4_ PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EFID STAFF AT THE EXIIENSE OF THE APPLICANT. THIS AD{}MONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT ICOR RAYMENT_ [SEE END POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> �� •!\� ♦�1+�\1++++���i i\ •f� i \1 \ • �� • •��o+!�+��i 7 t 1 i 1 1 I ���1!►\•�f\�v� � <br /> SIGNATUFjE OF APPLIC T .DATE <br /> SIGNATURE OF RELEASING OFFICIAL—- <br /> EH 00 14 JFRE V 9/96) <br />