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u -i.�.'u- VW,rr _.—_-i�I'T4ir W9GCV VGGCIVYiYtUWI-GbU'-4CS�Itl- - _ {�..t."- <br /> 9 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �i� <br /> APPLICANT Lrif - �'I��' PITONS NO <br /> ADDRESS �-aaA.1 <br /> AGENCY NT.ME^� �� 7 PHONE NO <br /> ADDRESS <br /> to+ +aa to rtwaaaaaarr++as+a+#a+t<t+ aaa+a+r txxax+++ar* wt+arta+a#x+++ <br /> FALL AI�DRES$ U� SINESS NAM[3/ PRS 0 <br /> CILIZ TYPE OF FILE <br /> ;zr7?4�r{ Rtv� -i i SGS ���P a9, so <br /> r+ta++* t+a++++a+aa+rasa+#rw+#++aaa++trrrt#r++*ta+ +#r+t rt ark#+a+++ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHOI POLICY 094-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1, A MAXIMUM OF TEN j101 PREMISE ADDRESSES PER REQUEST <br /> 7. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MQNDAY <br /> T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1.00 TO a:30 PM: ' <br /> 3_ A PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED_ <br /> e. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NUT BE REMOVED FROM THE EHD PREMISES. <br /> ... ......................... ......................... ......... <br /> SIGNATURE OF APPLICANT G('CQI[IIs DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Eli 00 14 tREV 91961 <br />