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cll.%LJl1'j'J/ Nd:Yl 'ilb.' „y �ras•w,i._:. � ;- _— - <br /> !i <br /> i <br /> 7 1-a3-199E 4.W:47_HI•t F TO 191637515ed 11.132• - - <br /> CAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIROMIENPAL HEALTH DIVISION <br /> 1 PGPLIC RECORDS RELFASE APPLICATION <br /> APPLIt:ANTOc.m,e (oVve•.T.+T.�mrlrr�Cr.�— PHONR NO (°ra) 3�.r- 7oryo <br /> ADt1RESS 39le LJ.r'/ S.r••+r(� M sr�ye xr 3u <br /> AGENCY NAM13PHONE NO <br /> i ADDRESS--__ —._.----_---. <br /> i FU�k-ADDRESSBUSINESy�' NAMIIL PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> gSZC' s� <br /> iAOLft 14 p�_ Sho-.pe <br /> IVIG 5. n_gi� 9n) sclw�- - Y rocr.os <br /> _ me iea• gs37G __ __._. ---- <br /> ` <br /> p!p THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> I SERVICFS/FNVIRONMENTAL HEALTH DIVISION IFHD) POLICY #94-007, ORDINANCE CODE 0 <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE FVIDFNCE CODE. <br /> 1. A MAXIMUM OF TEN (M PREMISE ADDRESSES PER REOUL-ST <br /> I <br /> ( 2. PUBLIC FILES/RECORDS REVIEW IS BY jkP INTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MON aAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, $_00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> I <br /> I 3. A PUBLIC FtLES/RECORDS RELEASE APPLICATION 4PRRA) IS REQUIRED. <br /> t 4. PUBLIC FILES(RECORDS NOT RETURNED IN THE SAME GUNDITION AS RECEIVED WILL B <br /> IIII CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TI IIS ADDITIONAL <br /> I SERVICE WILL RE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94-001) - <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT SE REMOVED FROM THE: EHO PREMISES. <br /> i •.ww.It....�.1YYtt4....tt.9..a ,/••�•Fattiaila8.�w�Tlt�OwttJwta stisit�w... •. <br /> SIGNATURt: OF APPLICANT K ./C � DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 IREV 9196) <br /> Tn AL F.C12 <br />