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V E D' <br /> APR 19 199(j <br /> SAN JOAOUIN COUNTY �-_-Iv\/1HGIrIMENTAL F±EAL.7 H <br /> PUR117C HCALT11 SERVICES PERMIT/ SERVICE'., <br /> EN`VIRONMF.N'171V, 11CALTH DIVISION <br /> PU13L:IC RECORDS RELEASO APPUIC,YrION <br /> AP PI,ICANT t PRONE NOF - ~ _f - <br /> Tag <br /> ADI]RCSS - <br /> AGENCY NAME <br /> NO <br /> ADDRESS <br /> + k k r + k r r r k k k k + +# + k++ + Of k +r k k k k k+ r##lr k } k F Y IF t F t** +# ++ k+ k r k Y +* k*# k k# <br /> BULL ADOEZESS BUSINCSS NAME <br /> pROGR1lr1 OR / <br /> &7'ID. U l 1P {r <br /> WWI <br /> k k k k k k k k F } 4 r r+* +# ++ k r k + * k r F + k kk r k 4 k ++# # # k+ k k 4 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONi4IENTAL HEALTH DIVISION IEHDI POLICY #94-007. ORDINANCE CODE OF <br /> SAN JOAOUIPI COUNTY, EHD FEE AND SERVICE CHANGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420- OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 AIV( TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> J. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA1 IS REQUIRED. <br /> ,t. PUBLIC FILESlRECORDS 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 911- 007) <br /> 5. ORIGINAL PUBLIC FILESlREC RDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . . . a . . . ... . . •. • ..... ♦.a. • . .. r. .•. ....... . ...... . .. . . <br /> SIGNATURE OF APPLICANT ( u •' DATE <br /> T. <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 91961 <br />