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U3l2til99 I;R1 11:29 1'AA <br /> SAN JOAQUIN COUNTY <br /> PUBI.T.0 HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECO/RDS RELEASE APPLICATION <br /> APPLICAN'P��-iY.i//FEe� PHONE NO gC/G- /fit:�• <br /> ADDRESS „2.P-2,= �_��'�-I- PHONE NO <br /> AGENCY NAME CGE/it/ G L7 E�2 <br /> ADDRESS <br /> FULL ADDRESS$ 13 SINESSNAME/ qPR�p ROM OR <br /> FACILITY OF FZLE <br /> i/Jn i� LiALPiCO kA. LAU/CA fCu/�/l.n'S „� : <br /> r L✓ L'AG.ni C C2�'d. <br /> 4'6-b CL/A F nz / /C <br /> ttrt*rt*tx+r+#k*t#++t*t+t+tt+rr*txt*+r#x*+*:+***t+t+tt#xtrx++trtxt <br /> THIS NOTICE IS SUBJECT TO 1HE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEAL1 H DIVISION (EHDI POLICY 894-007. ORDINANCE CODE OF <br /> SAN JOAQU.IN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN 4J PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)469-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RFCEIVED WILL BE <br /> CURRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE-END POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ............................ <br /> SIGNATURE OF APPLICA DATE <br /> ^ <br /> SIGNATURE OF RELEASIN OFFICIAL.-- DATE <br /> EH 09 14 IREV 91961 <br />