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3 <br /> Ar <br /> SAN J'OAQUIN COU TY <br /> PUBLIC HEALTH SERVICES 'jol <br /> ENVIRONMFNTAL HEALTH DIVISION <br /> PULLIc RECORDS RELEME APPLICATION p 'QQ� 2QQ <br /> App TCANT Basics Environmental PHONE NO TEL. 925-258-909 ��Tiy�cq Z <br /> ADD SS,. 116 Glorie BraulMrd,Qri nda, CA 945 <br /> AGD CY NAM$ i'FiONE NO <br /> ADD ESS - <br /> RES srr <br /> -PULLI sannsrnaS NAM( L PROGRAM, OR <br /> FACILx'1'Y TYPE <br /> 137A,1 North State Rt. 88 Ome a V ine and <br /> 2002 <br /> HEALTH <br /> THIS NOTICE,IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HATH <br /> SEA ICESIEN,VIRONMEHTAL HEALTH DIVISION (PHD) POLICY 094-007, ORDINANCE CODE!DF <br /> SAN POAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMEWT CODE AND THE EVIDENCE CODE. <br /> 1. Al MAXIMUM OF TEN IL01 PREMISE ADDRESSES PER REQUEST <br /> I ' <br /> 2. P PUC FILESIRECORDS REVIEW IS BY APPgINTME_NT ONLY.APPOINTMENTS AIR PROCESS- <br /> ED B CALLING (2091468.3420. OFFICE HOURS FOR APPOINTMENT$ARE SCHEDULED MONDAY <br /> THR FRIDAY EXCLUDING HOLIDAYS, 8.00 AM TO 12.00 NOON AND 1;00 TO 4.30 PM_ <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> 4. P BLIC FIj,1=slREcORDS NOT RETURNED IN THE SAME CONDM AS RECEIVED WILL BE <br /> COR I~CrEo BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> 51=13 ICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-0071 <br /> 5. 0 IGINAL PUSL.IC FILIiSIREC S SHALT_NOT BE REMOVED FROM THE i~E3a PR7 M15ES. <br /> 1� t���siyf+ rr�ryf�iai�if+tom*��ii�►�riUsa�e�ii <br /> iX? ............ TTiZ *� <br /> SIGNATURE OE APPILIGAN DATE 7125102 <br /> I ��DATE <br /> SIGNkT'URE OF RELEASING or-mci <br /> EH Op 14 IREV 91Q6? <br /> E ' <br /> TOTAL P.02 <br /> Yf _ <br />