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1311 00 14 (RI3V 5h ., SAN JOAQUIN COUNTY _ <br /> IrURI. IC IIrALTII sERV1Cl3S ( -/ Aic i. cr, lo lz F <br /> ENVIRONMENTAL HEALTH DIVISION t) / �- <br /> PLTBLIC RECORDS RELEASE APPLICATION L LLQ <br /> APPIICANIJ� laoYi PHONE NO � C? U <br /> ADDRPSS _ <br /> f AGENCY NAME - ! {l7un � SocIG Cf P1}ONE NO <br /> ADDRESS 2 ( ,S Wgl(-&kq Sn 0 ` <br /> I;ILPS AUDRF;� D/ �,,EAD AGENCJC ATS i <br /> (AL( 0,r)..._ Gore � r� /ii / 36�G (-�o2s7[), _ 7-13'V ((. <br /> i <br /> ' I <br /> i <br /> I <br /> TMS NOTICE IS SUNIECT TO TlTli RFQUIREMENTS IDENTIFIED IN T14E PUBLIC HEALTH <br /> T:SE <br /> SURVICIENV1RONMNTAI. HEALTH DIVISION ( EHD) POLICY #'94 -007, ORDINANCC CODE OF SAN <br /> JOAQUIN COUNTY , BID FEES AND SERVICE CIIARGF. RESOLU-110115, STATE WATER '' ICODE, <br /> GOVERNMENT CODC AND THE EVIDCNCE CODE. <br /> 1 <br /> i <br /> I . A MAXIMUM OF TEN (10) PREMISH ADURESTES PER REQUEST. <br /> ii <br /> Z. PUBLIC FILFS/RECORDS REVIEW IS BY .AI!MlNT(�JfNJDNLY - AMVINTAIENTS ARE ARRANGED RY <br /> 11 <br /> CALLING (209)46"341. OFFICE 1101189 r0R APPOINTMENTS ARE SCIIFDUL60 MONDAY TIIRU ' FRIDAY <br /> EXCLUDING HOLIDAYS. 9:00 AM TO 17:OU Nom AND 1 :00 PM in 4: 30 PM, <br /> J . A PUBLIC RBCORU3 RFIEASE AFPLICAr1oN (PARA) 19 REQUIRSD_ <br /> 4_ 111-Muc F11.E51RECORDS NOT RETURNED 114 7116 SAME CONDITION AS RECEIVED WILL 96 CORRECTED <br /> 6Y TILE DID STAFF AT THE EXPENSE OF TIFF, APFUrANT. TRIS ADDITIONAL. SERVICE WILL RE HILLEDTO TnE <br /> ArruCANT FOR PAYMENT- (SEH EIID Prn.1CT 94-007) <br /> 4 5 , OR004AL PUBLIC FIIE3/ItHC0RD3 SHALL NOT BE REMOVED FROM TETE. MID momism, <br /> SIGNA'T'URE OF APPLICANT _ DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHSJEHD RFCORDSIFILES ARE IDENTIFIED: <br /> p..v. wwsf r, nem MW $)Air <br /> PHS/END RFCORDS/FII-E7 EX1sr ON THE ADDRW(ES) NOTED- YOU WILL BE NOTIFIED WIIEN — <br /> Rrrlwlir/F1ISS ARE AVAILABLE FQPv4w4VIr'.lY: w <br /> O� <br />