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11-21-1994 04:55PM FROM TO 15104208793 P.02 <br /> SAN JOAQUI N COUNTX <br /> PUBLIC IIEALTH SERVICFS Y 7 3� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC "CORDS RELEASE APPLICATION <br /> ( <br /> APPLICANT 6th L (2 9 4� PHONE NO S/o-6 <br /> ADDRESS( <br /> AGENCY AME PHONE NO` <br /> ADDRESS { <br /> i <br /> LU AG� 7 $ <br /> CAVVG f/w (`G lj J n 1_ �Q e a <br /> 7 � G'�LEf `(z,�? — <br /> 37 <br /> 1n�W (jd' � I lit C. �� {✓ 4'�� /l'L - \ �S�j .� �/YL/l/�� ( <br /> i <br /> 1 <br /> f .. <br /> i <br /> THIS NOTlc6 i3 SUI3IECT TO THE REQUIREMENTS IDE3N11FIED IN THE PUBLIC 1413" <br /> SERVICES/E VIRONMRNTAL HEALTH DIVISION(MID) POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, >rHD FEES AND SERVICE CHARGE RESOLUTIONS, $TATII WATER CODS, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. I <br /> 1. A M IMUM OF TEN (10) PR13MISE ADDRESSES PER REQUEST. <br /> I � <br /> 2. PUELic FILM/RECORDS REVIEW ARE BY PPO NTMj?N'I' ON AE'POINTME3NTS ARE <br /> ARRANGED 1Y CALLING (209)468-0340. OFFIC13 HOURS FOR APPOIN'T'MENTS ARE SCIIEDULEsD <br /> MONDAY TH U FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. � <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION A <br /> `ES R Q E 9f}- <br /> x--�-x3 E#3--EIfE�-• <br /> 4• "� EM'ITI�U-DEI'9st'T-IS--tIFPIE,IL��V�r�I35�{�•9T�b--3�ELfi�-EtEVIE�-�3 <br /> BAR L�gar itsars A��nu��a�t - ut�E -- <br /> _P043� <br /> f <br /> 5• FUB1 ,C FILES/RECORDS NOT RIMRNED IN THE SAME COND111ON AS RECEIVED WILL B113CORRCCTEDY THE THD STAIT AT T1113 EXPENSE OF THE APP11CANi', THIS ADDIT10NAi, <br /> SERVICE WILl BE BILLED TO T14E APPLICANT FOR PAYMENT. ` �' <br /> 6. ORIGINAL PUBUC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREWSES, <br /> SIGNATURE OF APP.LICAN I DATE Z �i ^ <br /> { <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> I.if 1 yp 14 (REV t;/92) <br /> 0 <br />