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LII 00 14 (REV 5/n SAN JOAQU COUNTYr) (/%N'i -�. <br /> E PUBLIC 11EAL:111 SERVICES' <br /> ENWRONMENTAL I EALT11 DIVISION <br /> PUBLIC RECORDS RE EASE APPLICATION <br /> APPLICANT 011", (f v PHONE NO 21--9 9 660 7z3 1� <br /> ADDRESS7-� • E� S Lit tY <br /> AGENCY NAME G°,9 � PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LE AGENCY DATE <br /> 5 <br /> RECEIVED <br /> U6- MM <br /> fi ENVIRONMENTAL' HEALTH <br /> Or �- MIT/SERVICES- <br /> 0 n S Z- �G <br /> O p e <br /> o a44a a a,.` G 2w G •G�a <br /> o Z oL t� D s <br /> O z MvJc4 tnI -!00 /Y12 <br /> o . z zoo W _• at � d�� v �1 S �•.�S ��� <br /> 'ITtIIS N0110E IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THC PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALIIEALTH DIVISION (j--.141))POLICY X94-0071 ORDINANCE CODE OF SAN <br /> JoAQuIN ,COUNTY, END FEES AND sumvlcE cHARcE RESOLUTIONS, STA'T'E WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE <br /> 1. A MAXIMUM OP TEN (IQ) PREMISE ADDRESSES PER REQUEST. <br /> 2. PuBLIc FILES/1113-CORDS REVIEW Is By API' INTMEN'T ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS POR APKIINTM13INTS ARE SCIIEDIJLED MONDAY TIIRU FRIDAY <br />' EXCLUDING HOLIvAYS, 8:00 AM TO 12:00 NOON A D I:00 PmTo 4:30 rm. <br /> 3. A PUBLIC RECORDs RELI:Ass APPLICATION (PR A) 16 REQUIRED. <br /> 4. PUnLIC 17-11.ES/RECORDS f4OT RETURNED INT IE SAME CONbTTION As RECEIVED WILL BE CORRECTED <br /> BY T11E END STAPES AT THE EXPENSI3 OF TTI$ APPLICANr. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT POR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS s11ALL NO BE OVER FROM THE END PRI:M1sEs. <br /> SIGNATURE OF-APPLICANT DATE - �- <br /> 9fGNAT1UiIE0F RELr-AS1NG OF• CiAL DATE <br /> No PI.1S/Ef4D RECORDS/FILW ARE IDENTIFIED: <br /> nwrn: R..m..n.n na+nA,ss <br /> PHSIEHD RECORDS/I✓ILES Dtlsl'ON TIIE ADDREWES)140TED, YOU WILL BE N011FIED WHEN <br /> RECORDS/TILTS ARE AVAILABLE FOR REVIEW: <br /> 1).%-m: Rz"ff n.7! NOII 71oN OATH: <br /> AUG. 1994/0 <br />