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C` rrom: zuybbij)zu iue Sep b ZZ:13:53 2016 Page 1 of 1
<br /> %eye1 i3 �� E'. SAN JOAQUIN C=4TY
<br /> EWARONMENTAL HEALTH DEPARTMENT
<br /> ��� G �15�.p�1 t C�p s,. of k: trCil F.rCr erg S OCktun CA 952116-13232
<br /> (200;4£n>3120 Fax ,2091 464-0138 ed:tata'y c±:lgov arg;i riy
<br /> ryrr r sr-1 L 'a., --C RECORDS RELEASE Era S APPLICATION
<br /> PLIGiifCAN wT
<br /> ADDRESS., ,,,, —
<br /> PHONE. "' :' \ \ PHONE c
<br /> Please affoi' 10 businese days from date of a f _....
<br /> y ppttca?teyt3 sub{mittat for the records to be a�st9a�le
<br /> Staff will contact you to areanp an appointment dais and time:a review the To Qested records'
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<br /> SIGNATURE O APPLICANT LA E o
<br /> 11 Ltsf up fo fen addresses to the space t)OXW, -Cie 3J�e s
<br /> Na t}pegs}of rias'.frau{'the tie.befom by ctsc rat± She appvop,iate
<br /> boxfasl: At least one f1le type MUST he selected, Fa»;o.t2W 464-.0158 est-rria3l to the address in ticated above, Address
<br /> ranges wllf riot be acrep`ied.Applfcati^ns received after 5Ltlo pm Wffi be processed file next bu;5ness day.
<br /> 2, For axsistance In tdim fyiny the nature a•id conterst of Elia records,please contact EHL at tha numb r noted.above.
<br /> 5. The END wig notify:lir'a(;plicani if any EHD files exist. A-1 a; poi>3i,tz ni far review w£fi be crrnfkaled apjamtasatefy te-n ;1C}
<br /> days after receipt of appftcation. The flies vet£I be held for a maximum of five trusitsasa daya for review. Appointments
<br /> shwld be schaduled accordingly.
<br /> 4. Any I le not reit-meed In°.he ssrie condition as released mil be reorganized by EHp std f at the expense of the erp£icanz,
<br /> Future fife reviews by the same app&icant may require a$139 deposit prior to reg+iaix,.
<br /> WELL AND SEPTIC PEPMIT RECORDS ARE AVAILABLE FDR PZj 44r: MONDAY-Fc?IDA "M:;30 AM-5;,fOPM REXCLUDING fiDLIDAYs
<br /> iecttn ,Ic inftsrnsatlon: ? List; Afa€3—Descriptio
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<br /> specifke UsRage of Infonr:stion Requested: Prortt to
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<br /> L-FiecOc�3s provided by Sfaf#-PRIZ i.cixr3isiete. -
<br /> �Received Time=Sep, 6. =2016= 3: 13PNr-No. 1168
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