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SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION 6 'q�,2 O <br /> ( _ PEIONE NO <br /> APPLICANT JOKa LOVE- 9019E8�►^"T'OA icA- 94 !r6 <br /> ADDRESS_�►ZSZ �-- PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> BUS INESS�IAME// <br /> FUEL ADDR•� FAC 111-1 jyg OF FILE <br /> ALL <br /> E�SptZ�/tcE Go Ihc. A''" <br /> �p0 S 13 ,�c,ra.i Qo�o Q• 3S' �' LUST - <br /> 851 E. e t v <br /> BECKw+A�OM _ ""="�uA' pt,oSa�Lk <br /> Zt3 Kr►, v 5'►: _ .L TlECK <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENT L HEALTH HD FEE ANDVISION IEHDI SERVICE CHARGE RESOLUTIONS,CY 994-007, ORDINANCE <br /> SAN JOAQUIN COUNTY, E RESOLU ONS, STATE WATER CODE. <br /> _ <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1.- A MAXIMUM OF TEN JM PREMISE ADDRESSES PER REQUEST <br /> Z. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTNIg T ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1091468-3}OLI. OFFICE HOURS DAYS, 8 00 AM TOR12 00 NOON ANDAPPOINTMENTSA 00 TO 4D 0 PM'RE SCHEULED "THRU FRIDAY EXCLUDING <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 8Y THE LHD STAFF ATED O THE APPLFOR PAYMENTE EXPENSE OF THE .APLICANT. THIS L <br /> SERVICE WILL BE BILL SEE EHD POLICY 94- 007 <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> SIGNATURkOF RELEASING FICIAL <br /> DATE <br /> EH 00 14 (REV 91961 <br />