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ll-27.-1996 0-4:42RI-I FV TQ 19IG3?SIPJ24 <br /> CAN JOAQUT-N7 COUNTY <br /> PUBLIC 14EAL"I -SERVICES <br /> ENVlR0DRWrrAL ll:EAI.TH D-TVISION <br /> PUBLIC RECORDS RSLMASE APPLICATION <br /> AFPljl('-ANT benn-e PHONE NO ((410 <br /> ADL-KESS "5q6o :f-4-.t 1,iw1 FS Iv d, 1—le­7 06 < LJ e.(-/ J"c,,— 0 <br /> AGENCY NAME— PHONE NO <br /> ADDRESS <br /> BUSlNj-;Sq NAME <br /> PROGRAM OR <br /> PE OP VILE <br /> I <br /> LAik, <br /> *,kk-4 4� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION 4FHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THF FVIDFNCE CODE. <br /> 1. A MAXIMUM OF TEN IM PREMISE ADORESSES PER nt-OUE-ST <br /> 2. PUBLIC FILES/RECORDS REVIEW 15 BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> } EU BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THAU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12.00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUULic r-ILESMECORDS RELEASE APPLICATION 0`111A) IS REQUIRED. <br /> 4. PURI.-IC FILESMECORDS NOT RETURNED IN T14E$AIVIC CONDITION AS RECEIVED WILL BE <br /> II CORRECTED BY T14E SHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. 4SEE EHO POLICY 94-0071 <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 13E REMOVED FROM THE EHO PREMISES. <br /> W *4F 4...*..wV <br /> IGNATIJI-It. OF APPLICANT DATE <br /> SIGNATURE OF RELF-EASING 017 FICIAL DATE <br /> EH 00 14 (REV 9106) <br /> TnTAL P.02 <br />