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,- all LL"r <br /> SAN JOAQUIN COUNTY. . <br /> PUBLIC HEALTH SBRVICES <br /> SNVIROIU4 N=AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> I�flPI,ICANT E D ,56: < PHONE NO <br /> aDDUSS io a CA 70- <br /> �GENCY NAN1& PHO NO <br /> j',DDR$SS <br /> t*tttx*xw*x#x#wx#xxw*xxtxw*xxx#txtx#+#***+*#*#++*#*++t*#+#*t++#** <br /> i+i17.i ADDR&SS BUSINESS NAz- L OR <br /> FACILITY HYPE OF PII R <br /> oto li r�f <br /> i <br /> yr**t*t*xt*#tt+tt#t##xir*+t*t+tx*t+t txx+xt#+#w#xw+t####xt#t#:wxx+tt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> . PUBLIC FILESIRECORDS REVIEW 15 BY APPOINTM8WL-U-NLY. PO EN ARE PROCESS <br /> ED BY CALLING (209)4883420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> i-HRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> L <br /> $. !�PUBLIC FILES/RECORDS RELEASE APPLICATION (PARA) IS REQUIRED- <br /> PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> -ORREcTED BY THE EHD STAFF T THE <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR R PA MENT. (SEE EHD POLICY 94- 0071 <br /> t <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ]rrr+rr+ar♦sa rasa s++aaa a.+.}�I.r yi �i`ir+s as rra sa...a.a re.s�++a+:s+a.� <br /> �GNiATURE OF AppL1CAfIT N/JLC/ DATE D �6 g <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH CO 14 (REV 9198) <br /> i <br /> 1 <br />