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a <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HFALTEI SERVICES <br /> ENVIRONNIENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPUCATION <br /> APPLICANT ��? 1<r'� p z ...PHONE NO <br /> ADDRESS //P/ <br /> A CYNA—M:E PHONE NO <br /> ADDRESS <br /> t R ADD1z�SSLEAP AO - <br /> '375 %rac y �oal�var%jrrc ' UST, �ctalrzi:r��ra�ra; G(,�/l,c Q 0107 9Y <br /> SZs U1.G�zcufCi� ,�c%� Tzrc � l`la? G�(.•rr. L�lt�.ta �� <br /> T <br /> LU.Grclirt G�� iZa/��rcrcy <br /> S YG Graffi f G.:ce /, 7--ac z <br /> ,'_srct Tracy I3/vd_, Ttrcd� <br /> orfGi ._ f <br /> 6;M-v/ Gl.ci Aeolic 7-m- N UIN� <br /> .?ys® mercy I-Sldca!, %racy H ►®� <br /> 71 Kym"f 4�r;a t�4 r#'ac y Wtvinv <br /> - � <br /> -qn <br /> s N0710E IS StMIECT TO THE REQUIREMENTS C <br /> POLICY 092-M,CAMANCE COVE OF a"x,WA <br /> JOA COUNTY, DIVISION )CHARGEO TE <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. ` <br /> F <br /> w+i e <br /> 1. A MAXMIUM OF TEN (10)PREMSE ADDRESSES PER R9QU2SlT- <br /> 2. PUBUC FILESMECORDS REIVIEW ARE BY <br /> BY CALUNG )468.4340. OFFICE HOURS FOR APPORMtOM <br /> MONDAY THRU FILWAY EXCLUDING HOLIDAYS, 8:00 A.M.TO I2t40 NOOKAND l-.W P.M.TO 40 <br /> 3. `'A PUBUC jtECMt 7S RELEASE APPLICATION AND A rj�11 �"r I3 TT OP Sy8.00 f <br /> IS RBMU�. DEPOSITS WML BE RETURNED TO nM APPLICANT IF THE � <br /> NOT AVAMADU WMN THE CUSTODY OF THE EHD. <br /> 4. M ABOVE ID9471FIED DEPOSIT IS APPLIED TOWARDSFEE <br /> CHARGE. THE BALANCE OF THE CRARGES ARE DUE AND PAY G Tm � <br /> �• � x � F 3 <br /> t gds gyp //��{{ ®}/�y� <br /> $. .' I ;•....Li\r FIL COJ NOT ACED IN TTIIIB 5 CONDITION h9 s BE a <br /> CORRECrED BY THs mm STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> sERVICR WILL.BE BUIJM TO THE APPLICANT FOR PAYMENT. <br /> Y 6. =GWAL PtTWC /RECORDS SHALL NOT BE REMOVED FROM THE MID PREMI <br /> SIGNATURE OF APPLICANT I3ATfi t `�Y <br /> STGNAT6M OF RELEASING OFFICIAL DATE <br /> EH 00 14 12192) <br /> p <br /> TOTAL <br />