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FRIIN TO 4741 082 F . 02 <br /> Ell 00 14 ( REV 5/ 94) SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT yaL cif ) PHONE NO I I �- 3S9L <br /> ADDRESS <br /> AGENCY NAME n�U YL PHONE NO <br /> ADDRESS g12 � Tln �x n �o Y ' 1p A � � <br /> S+cckx�+Ovj I C +) 9S2p9 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> Un(o1n\lvl11c1 Cev4er ' PcL(iJci PXhJ 61+ t�- 9z9narneltwslcO TLLrkaff <br /> V% � Fac 4C� �rv2 LO Zl6Z 16 -1Z 17h I rl <br /> 94�P <br /> a1 "Z23 5 -1 a -9� C15I I I hiv: <br /> CarWasllj 6238 LnP kk L225 - 25 - 9 �IInScSr <br /> `�Fa . ' q S 611Pc. C6evral ; 4t z p4tzrzc hVe LOP w 17�8i-f 6-Z5 - 96 <br /> C un (7 IS ham: t5k2J , i �," Pai&�!e L_nP r+, L2,1 L2 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ ENV'IRONME• NTALHEALTH DIVISION ( EHD) POLICY #94 -007 , ORDINANCE CODE Of SAN <br /> JOAQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS , STATE WATER CODE , <br /> GOVERNMENT CODE AND IP44E EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (10) PREMISE, .ADDRFSS63 PER REQUEST. <br /> ? PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT OJNJ.Y • APPOINTMENTS ARE ARRANOED BY <br /> CALLING .( 209)468 -0340 . OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY Tim FRIDAY <br /> EXCLUDING 'HOLIDAYS , 8 : 00 AAA TO 12:00 NOON AND 1 :00 PM TO 4 : 30 PM , <br /> 3 . A PUBLIC RECORDS RELEASE APPLICATION (PARA) IS REQUIRED . <br /> 4 - PUBLIC PILES/RECORDS NOT RCTURNCD IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL SERVICE WILL BE BILLED TO TILE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94M7) <br /> 5 , ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES . <br /> SIGNATURE OF APPLICANT DATE 64n _ gS <br /> SIGNATURE OF RELEASING OFFICIAL DATE (D P 6 <br /> NO PHS! EHD RECORDS/PILES ARE IDENTIFIED: <br /> �.-,. R�� rr. Wntnand nA. ' <br /> PHS/ EIiD RECORDS/ FILES EXIST ON THB ADDRESS( ES) NOTED , YOU WILL HE NOTIFIED WHEN <br /> RECORD&'FILES ARE AVAILA13LE FOR REVIEW: <br /> 04M ammr D vy! w nr. nrn Mm. <br />