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29-81-1990 18=2*4woe FROM _ J 94FQ621 P.02 <br /> SAN JOAQUIN COUNTY ^ ' <br /> PU13LIC HEALTH SERVICES <br /> Q� r ENVIRONMENTAL 1IEALTu DT_VISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPC.T ANT,J&9,'FE7e ,�IIAIZ PHONE <br /> AD!?x S��'n7 <br /> AG�NC�t NAME c PHONE NO _. . . .. <br /> ADQxs 's <br /> ++i+• +Yr+*Wr♦++++i+ii}+1 kkl tSr ttrrrrfr +Y!'t�+tf a+ y trx O/`irr tt txr <br /> .rtjLL, ODR13SS f (L$jj<1.ESS NAMIY/ p <br /> FACTL ITY TYPB OF FTj,R <br /> s++:;x tt +#i4rt+r fief txY 44+x++irY ++►Mxr++rkx+t+x:kt txrxr4+a+x Yr+x++ <br /> THIS NO rjcF IS SUBJECT TO THE REQUIREMENTS IDENTtFiED IN THE PUBLIC HEALTH <br /> SERVICE /ENVIRONMENTAL HEALTH DIVISION (CHO) POLICY ,094-007, ORDINANCE CODE OF <br /> SANiJO QUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GO VIIERN OENT CODE AND THE EVIDENCE COOS. <br /> 1. MA IMUM OF LFA! (1Q) PREMISE ADORES';ES PER REQUEST <br /> I <br /> 2. BUC OLESIRECORDS REVIEW IS BY appg�Luj{v_���uT�NLY. APPOINTMENTS ARE PROCESS- <br /> ED ,�'y CALLING f-2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THAW FR DAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4;70 PM. <br /> 3- ii PU LIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILESMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORft EC�'I£p BY THE 0-I13 STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SER%4ICE ILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 0071 <br /> 5. 0RIGI AL PUBLIC FILESlRECORDS SHALL NOT SE REMOVED FROM THE EHO PREMISES_ <br /> SIGNATU#t;'OF APPLICA &�- >-/• •••.•_ DATE98....-.... <br /> SIGNATU E OF RELEASING OFFICIAL DATE _ <br /> EH 00 14 REV 9196) . <br /> I <br /> TUTPL P.02 <br />