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11! LL! 1770 1V.YJ 71 UJ rJl ILLY u.•,i.•ur�..a.. .w... ,/ _ - � <br /> 11-23--1996 04:429M Ff TO 19:(63751024 P.02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HRALTH SERVICES <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT nit �4l c�i�ort PHO" NO 014)'315-/1000 <br /> I AbbR1~SS �n�: i�: Comae.-4'en -34ao Yrd.�sb��r +Sly.( 5� ')� IGo C wxf Sege 4s69� <br /> J AGENCY NAME PHONE NOr <br /> ADDRESS <br /> * txx**,t*xxx+rttxxw*w,t,tx*x*,r,tt#,tw*w*t*wt,rxxtit#r*tir�rxx�txw�t**rtw*ttirt•rwwt <br /> j FULL ADDR.FSS BUSINESS N � PROGRAM OR <br /> FACTLTY TYPE OFPILE <br /> 14!U s drS <br /> _ Tree LA - <br /> i .5ZS to-Im Cie Q/dew Pt—� <br /> i Tn CA <br /> iyZ 0 7�l[_61.4 y!#1 7LL o'Nw }r /f�res�i it Ca i 1 A L c s? T <br /> xw,r**:,r*#�*w*�.rw,r#ww**�r*x•w*w*w*w+vwrwxw+,rf,tfwwfw+t�fftw*tea*ww•��rx,tx <br /> +� THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDEN7`I171EV IN THE PUBLIC HEALTH <br /> f SEnViCES/ENVIRONMENTAL HEALTH DiVISI01d (EHD) POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF IEN jlM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT"ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, $:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A F'U$LIC PILES/RECORDS RELEASE APPLICATION (ARRA) IS REQUIR!_D. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED 1N THE SAME CONDITION AS RECEIVED WILL BE <br /> I, CORRECTED BY THE ENO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL OF 131LLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) ' <br /> f <br /> L 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHp PREMISES. <br /> •wrr.rr•r•rr•�•wwww+s w.waww.ww.a+••w ww.wwwwwwwwsa.•ra••sa.aha•rsw►w•w•••�+ <br /> SIGNATUhC OF APPLICANT BATE llZzZ Ci <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br /> TOTPL P.[32 <br />