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05/15/2003 16:27 209-5779158 MJ KLOBERDANZ PAGE 02 <br /> i35,'15/20I]3 16:25 20'3Qbr` .�33 FIF H FLOCK PASS M I <br /> SART JOAQUIN COMITY <br /> ipaar,2C HEALTH SER ICES <br /> ENVIRCMENTAL HEALTH DrVISION <br /> PUBLIC RECORDS RELEASE APPLICATTON <br /> Al?PL,ICANT - -pON» 110 <br /> abREss 5 - <br /> AGENCY NAME- <br /> ADDRESS _PH NL NO— <br /> AGENCY <br /> KESS <br /> Gam + BUS.2a`13kZ Pi #tlAitif ..0� <br /> L4 <br /> Yx�rwY*,r**rr,t* r*,rwft*,rwwrtt*sr+r-rarrr*w*,�,v *w*t*r*-rw� **�r:-r�r*xx*#w#wK <br /> THIS .N077ICE IS SUWECT TO THE REGUIREMENTS IDENTi ILEO IN THE PUBLIC HEALTH <br /> SERVICE SIENVIA ONMENTAL-HEALTH DIVISION (EHOI POLICY #94-007, ORDINANCE WOE OF <br /> SAKI JOAQUIN COUNTY, EHI? FEE AND SERVICE CHARGE RESOLIJTIONS, STATE WAFER CGDE. <br /> GOVE13NMENT CODE AND THE EVIDENCE CODE, <br /> 1. A MAXIMUM OF IM LIM PRSMIEE AbORESSES PI~R 3OUEST <br /> 2, PUIaLIC FtLEWRECORDS REVIEW IS BY A P T Y, APPQiN'rUENTS ARE PROCESS- <br /> EO BY CALLING 12091468-3420, 0010E HOURS FOR APP 11VTIVIENT5 AAE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING !-IC1U0A`TS, 8:00 AM TO 12.00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A POOLIC FILE:SfAECOFIDS RELEASE APPLICATION IFKFAl IS REGUIRED- <br /> 4, PUBLIC FIL.ESIRECORDS -NOT RET URNED IN THE SAME CONDMOH A5 RECEIVED WILL 3E <br /> CORRECTED BY THE EHO STAFF AT THE EXPEWS6 OF THE APPUCANT. THIS AI30TIONAL <br /> SERVICE WILL 812 BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 34-00.71 <br /> 5, ORIGINAL PUBLIC: FILES/RECORDS sHAU. NOT BE RIE VIED FROM THE EHD PRE UItSES. <br /> y.rra�s••rafr•••r••►r•r+ .����.••.. •*•�..•.fa.i••���••�rawa.w•r• <br /> SIGNATURE OF APPLICANT E]RTE„� <br /> SIGNATURE aF RBI.EASING.OFFICIAI HATE 5�d <br /> EH 00 14 ISEV 9196! <br />