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03 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONNRI-TTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> a, •. E•9.erxxn Audi d i�srwt�w7t:S itr+6�+d1 PHONE NO 415--311- lsL7 <br /> k APpL.I CANT <br /> : ,.. ADDRESS RQ , go iSL s lg�Oz g 'Z iozY <br /> AGSNCY NAME PHONE NO <br /> ADDRESS <br /> tiwriYw;xaarrr+}a;##+aa+rkriaa;#xr#•w1a##+a4ia#r;####w#r##+###tr+i <br /> FULADDRESS @SIC C,9 NAMEZ PROGRAM OR <br /> FACILITY qq TYPE OF FILE <br /> �d3o Rwo, Rwa Nm (,:C Err IwKSTKxw wa4>e.SuNta'j'a <br /> i <br /> i - <br /> rw+rw+rw#x#r;#a;waaw+art+ati+aaarraaww;r;aa##a+a#raaww##x:r:w#+r+ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENWRONMENTAL HEALTH DIVISION tEHD) POLICY #94-007. ORDINANCE CODE OF <br /> SAN JOgQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STAYS WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1� A MAXIMUM OF 1W jQj PREMISE ADDRESSES PER REQUEST - <br /> ?. PUELIC FILESIRECORDS REVIEWIS 13Y APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 9Y'CALLING 12091488.9.420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY. <br /> THRU CRIDAY EXCLUDING HOLIDAYS. 3-00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3- A PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED• <br /> 4- PV9LIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 8E <br /> C,'ORRECTED 9Y THE QHo STAFF AT THE EXPENSE OK THR APPLICANT. THIS ADDITIONAL <br /> MVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94-00.71 <br /> 5-. ORIGINAL PUBLIC FILESINECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .............................................•.............................. <br /> (SIGNATURE OF APPLICANT eF DATE z•11S its <br /> (SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 tREV 91961 L <br /> (.wino 6- TD kjw. " ! 1EK oP S1TS � - 3frA�. &•ms We FIr 0r Or <br /> IS 1Me+s ..WILl j S. m.e w Tu[ <br /> eF1'kE CM A4+#w 111 ' '4&r hR7*+�Y �Bd.ER.Y� Farz. 1/S <br /> TOTAL P.02 <br /> \ 1"'7 TOTAL P.02 <br />