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DUSAN JOAQTJIN CO TY <br /> PUBLIC HEA-uTH SE .VICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1rza �cr �1� PHONE NO <br /> APPLICANT t Z <br /> ADDRESS 31 Z�avc 01 HONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> BUSINESS NAM PROGRAM R <br /> FULL ADDRESS FACIL ,I,Y O <br /> TYPE OF FILE <br /> by <br /> Lo <br /> D w. L �)6 rwtce <br /> -7 5 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDE TINED IN THE PUBLIC HEALTH <br /> SSIENVIROTAL HEALTH HD FEE ANDIS RIVOICE CHA OEIRESO RESOLUTIONS, STATE WATER CODE, <br /> #94-007, ORDINANCE CODE OF <br /> SAN <br /> AN JO JOAQUIN COUNTY <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN 10 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTM NT ONLY. 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 FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> J <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE S ME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE.APPUCANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/REC RDS SHALL NOT BE REMOVED FROM-THE EHD PREMISES. <br /> ♦ra+Fsaaiaiaaaaiisa#isa ## • #F+}#iaaaas #iaa##i OAT�i+� � �#�a� a#rasa <br /> SIGNATURE.OF.APPLICAN —�.... ._.. _... ----__-- <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE � <br /> EH'00 14 (REV 9196) <br />