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;7-1.3�IyJ'C1 IYJ:+ILHN1 ` 4U1.1 Kv vKiv�Vv vVV�Iv•tau a.•i w_u.: ►FV, . .v ___ ._ . _-. <br /> SAN JOAQUIN COUNTY , <br /> Y' PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> r <br /> G:at�r PHONE NO /CID 10 <br /> APPLFCANT <br /> ADORESS� JA r-7 4`7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> *,r. +*+�+•.�r+ +►**++++*+++qtr+*+*+*t*�+.+«�*•rr*+#+�r+:,r•***+,►*+a*,rte*tf++ <br /> PULL AI7DRE Bpi SYNES E P12.OGR- M_�R <br /> ACILZ'EX TYPE OF FILE <br /> QA <br /> 17�O arri7V ,� eeF Rn+rtc►A Crttr}rcl Vtil�Y�—U <Pi:tir-� <br /> S z S + /YIAwitc AL tt i s7rr�c. . <br /> .>; 7 ZIT <br /> Ldp _ <br /> �Z75 N z;AztL�J►a r'n art t a•- � �m� ~ <br /> +*�+�r+++iktt++f+•ki*+#�+�*�r�***+#r++*a•+r+tt+wt�+t••R*+**�#wt,t�r�*++#r+*� <br /> THIS NOTICE IS SUBJECT TO THE AEQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94.007, ORDINANCE CODE OF <br /> SAN JOAQVIN COUNTv, EMU FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXtMUM OF TENQ2 I PREMISE ADDRESSES PER REQUEST <br /> �. PUBLIC FILES/RECOROS REVIEW 15 BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY FXCLVbING HOLIDAYS, 8:00 AM'TO 12:00 NOON AND 1:00 TO 4:30 PM: • <br /> 3- A PUBLIC FILESIRECORDS RELEASE APPIRI�ATION (PRRM IS REQUIRED. <br /> 4_ PUBLIC FILESIRECORDS NOT RETURNEPJN THE SAME CONDITION AS RECEIVED.WILL BE <br /> CORRECTED BE THE STAFF AT EXPENSE OF THE PAYMENT. ADDITIONAL <br /> SERVICE WILL <br /> LTOE FOR SEE ENO POLICY 94I007). <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> •. ..# www.w.aaawaa•a�..•. aaaaa.�a saa aaw.aa.►a!a•..a•aa.aa aa•awwa�aw�aa• <br /> SIGNATURE OF APPLICANT <br /> DATE - <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 9196) <br />