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05-CII-199903rds7 <br /> 1M TO 17145411351 ,P.01 <br /> sArr JaAQvIN COUNTY � . <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVTSION <br /> PUBLIC RIfCOlzDS R£LEASS APPLICATION <br /> APP ICANT L)ok oas fuzz-AFF PHONE N04;7oKL_ <br /> 4-� <br /> ADD ESS id7 Z. Th-AA!L1 C <br /> at <br /> AGENCY HAM PR4r'IE NO <br /> ADt7�E5S . <br /> •i ty�#'##�*7ttttk*tvr*#*# Mik*yy,r#ii#t#•`#+Y#1�tkt#+R4R!*i#t*�•*i•�rf*ttYlt•*•k* <br /> i3L DRBS �lU S IN 99 NAMEL pLUM � OR <br /> TXPZ O ' LE <br /> rl _ <br /> Q - . <br /> � 53 S — <br /> s t x� Rw#ir*#tri i�lt#*#•Rt*##*!#'f it#*##4'r#+•►*r+r rry�it**•k;1•f;Ir*t+t*4*#ir•k til <br /> THIS'NOTITE IS SUBJECT TO THE R£DUIREMENTS IDENTIFIED IN THE Pl18LIC HEALTH <br /> SER CES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY X194-007, ORDINANCE CODE CIF' <br /> SAN JOAOUIN COUNTY, EHO FFE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVt RNMGNT C06E AND TI-I£ EVIOWCE CODE. <br /> 1. A MAXIMUM OR TI=N 110 PREMISE ADDRESSES PER REQUEST <br /> 7, PUBLIC FIL9SIR9CORDS REVIEW IS BY APPQjNTMU114T-ONLY, APPOINTMENTS ARE t'ROC•ES& <br /> ED 9� CALLING 1209}468-3420. oMr_E HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THOU FRIDAY EXCL:UOMG HOLIDAYS, S:00 AAA TO 12.00 NOON AND 1:00 TO 4:30 PM_ <br /> 3, A PUBLIC FILESIRSCORDS RELEASE APPOCATION 1PRRAI IS RgQU1RO! <br /> 4. P I JBLIC FjLgSjRrzCORDS NOT RETURNED IN THE 'SAME CONIDITION AS ;j9CEJVED WILL BE <br /> COR�C-CTED BY TH6.EHO STAFF AT THE EXPENSE OF THE APPCICANT.• THIS ADDITIONAL. <br /> SER%410E WILL SS 81l.ILED TO THE APPLICANT FOR PAYMENT. (SEE CHD POLICY 84-0071 <br /> t <br /> 5, o61GiNAL PUBLIC PILMSIRECORDS SHALL NOT 6E REMOVED ICOM TNI: EHO PREMISES. <br /> ♦• •�•44 ��1+k��r?�+•�i�� �♦i•�i�r r• •*i i 1 v•�4 i�•��r r 1♦��i�• ♦•� ►i f r V*•*+�.�• <br /> 51GNV TURE'OF APPLICANT C+4T8 S '1 <br /> SIGNIRTUR$ DF RZ:LEASING OFFICIAL <br /> EH;oa a kiz'v 91' 6I <br /> I ro FAte+ <br /> - phanp i <br /> TOTAL P.(31 <br />