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JUIY YJ1 'Jb b7.18 Ftiih =,rJcrJrn <br /> Post-ft'Fax Not7671 0 <br /> 06-01-1998 08:39Pt1 FROM 11 <br /> Ca Co. z ; <br /> Pna,e x <br /> Phone 1 Lf r•_ <br /> I Fax e - <br /> uq t0'4—c l?j Fart <br /> r <br /> 1 <br /> t SAN JOAQUIN CDUN'1'Y <br /> PURL.TC RRAL,1'11 SERVICrS <br /> ENVIRONMENTAL HEALTH DIVISION �'" � -13 Y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLC�LNT A1trt OUaSSQU lir �IV (L_PHON6' NO <br /> ADDRESS <br /> AGEN(�Y NAME WI PHONE NO <br /> :max 4 *++r:*x r,a**tom rvr*trF*tttr#*�r**,rrtt rr#+tt*,t,ttr* r,tx,kz,rx***Xx*** <br /> I <br /> rC�L.t, I ADt?;R.Fs�. U Nr; S!AMP PROGRAM Og <br /> i FACZL.'M HYPE OF FTL13 <br /> v G I , } . J <br /> i <br /> u _ Q_ <br /> }:> < <br /> �*-It <br /> 2--05"7lr F�Ivd- TrC�e1(�U/ �GDr?o = ' <br /> .t* ar�Yrt:•x Yc1r***�,k ►*tir_,h ,rarrt** *-rftt*t*r�**:*rir*ir**'irtt#,txrt*x** <br /> THISV�TICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVIfESIENVIRONMENTAL HEALTH DIVISION iEHD1 POLICY #94-007, ORDINANCE CODE OF <br /> SAN J6AQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE , <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 11I <br /> 1, A MAXIM: UM OF T�,N (101 PREMISE ADDRESSES PER REQUEST <br /> 2, PUAI_IC FILESIRECORDS REVIEW IS BY APPOINIhlg 0 YAPPOINTMENTS ARE PROC>`SS- <br /> ED BY �ALLtNG (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU �,RIDAiY EXCLUDING HOLIDAYS, 8:00 AM TO 12:40 NOON AND 1:00 TO 4.30 PM. <br /> 3. A PJIJBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4, Pt16L1C FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> C_0RFtF�TEQ BY THE EHD STAFF AT THE EXPENSE OFTHE APPLICAt4T. THIS A0o(TIONAL <br /> SERVICE W14 8E BILLED TO TH9 APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> 5_ OmIPINAL PUBLIC FILESIRECORDS SHALL NOT 13E REMOVED FROM THE EHD PREMISES. <br /> I <br /> r T♦ •♦►..�i a�r 1 1�r r�a a f r r a 1�r.r♦+♦a♦ ♦ ♦�r a 1 f r J 1 i 4�r f►•1 a r 1 1 J♦l 1 a r r f 7 f f f a♦r <br /> I <br /> SIGNATURE`OF APPLICANT �0_2_�Al DATE <br /> SIGN) T`UhEiOF REI_FASING OFFICIAL DATE <br /> EH 40 14,IR�V 9/961 <br /> I <br />