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W25/20BO 11:53 20Q456N.5/3 FIFTH I-OOR PAGE 02 <br /> SAN J'OAQUIN COUNTY <br /> PUSL,-C REA-LTH SERVIC2S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELaASa APPLICATIOM <br /> APPLFC.UIT �/ �/�r�i�/�f��t/�`.�cL:-A LA-LI T- PROM IVO---7ly�s�3�~�f'�.Zf <br /> ADDRESS 100 Or-i-e Wa -S� f-' I!�c } ,cam C-14 8 76 -'7 1 � <br /> AGENCY NAMEPHONE NO <br /> ADDRESS <br /> **kr•rt�4rire**#*4-lt*'k'�*'k:r'k*tl'*`k*i"k#t7k**#*�r'Fif*�t'k't`k`k*tart'*'*f**f'* I'7l'l•wdiric' <br /> F'1_IC,i, Ar)DRPSS SQS INFsSS NAME/ PROGRAM OR <br /> 'TYPE OF FILE <br /> Ss 6Ile <br /> .Yom <br /> S"// a �c• c4 � _�B� _3 94__S�4 <br /> *,e** rx'�' F*fit Yr#,tr-k*7r it ict*w;Irwyrww•r*eir'� k*:F**-kyr#'*�clri tit**Yr*****fit*ftl+Y*3'ttir* <br /> THIS !NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PURUC HEALT'ri <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (E.L401 POLICY x:94-007, ORDINANCE COOS OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMEPJT CODEAND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN L101 PREMISE ADDRESSES PER REQUEST <br /> 2_ PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARS PROCESS- <br /> ED BY CALLING (2091488-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FSIDAY EXCLUDING HOLIDAYS, 8:00 AIA TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS R2 LEASE APPUCATIOIN (PRRA) IS REOVIRE10. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE AAPLICAN T. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICAN'P FOR PAYNIEfNT_ {SEE EHD POLICY 94,-0071 <br /> 5. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .�-.........rr�rr�.r.y r♦-r�.r. +rt r-1rw+.,w..rrr•art+..+sraa.--rrrr <br /> SIGNATURE OF APPLICANT-- <br /> SIGNATURE <br /> O �� <br /> SIGNATURE OF RELEASING OFFICIAL 14''i DATE <br /> EH 00 1,* (REV 9/96) ' <br /> Z0 39VJ IC3 V9L9Z£9VTL TT:ZT 000Z/5Z/60 <br />