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Z7 <br /> 013 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS R-ZLEASE APPlICATTON <br /> APPLICANT Ca OF s6I-D" NEN0 <br /> ADDRESS ,2S' U. EC -Z).--'L - <br /> AGENCY NAMEPHONE NO <br /> ADDRESS <br /> FU L ADDRESS BUSINESS NAME/ PROGRAM OR <br /> r-7 c /sr� FA�CIL�2� �1 � (� TYPE OF FILE G <br /> 1 / 5c,,ITf Lr,Jcot-,-j C 930 z) . .y o(--1'-".^I'O �c't..c.. C-c IC$ .2/• @� <br /> 36z. WC--sr �inDse�1 (�iobo - . B <br /> 'sem- S�i+s Li43V�_�r°��b/ L�Lt >r( � c_ 3S• � ss <br /> 44, z <br /> w30 F779td <br /> U f r 9 4v •LL <br /> �- a� b cr zr 2� %d ;h• <br /> a cr tt <br /> .Zq . Lv <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY /194-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOV ERNMENT 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 /> BY C LLING (209)468-3420. 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 <br /> i <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. ) <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY <br /> 94- 0 7) 3 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISE. <br /> SIGNATURE OF APPLICANT c _ 0� DATE c Z �w { <br /> SIGN TURE OF RELEASING OFFICIAL ' DATE r <br /> EH Q 14 (REV 9/96) <br /> ( <br />