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579 ^^<5 ' 'H•02 <br /> Q{IJ�' �H •.j/ U'j'g4Hl'1 71'I11Y1 It'..I'tl'K�VJbi v.nrviani lull � . <br /> li-13-1996 By:S6AM Fk '" � /) <br /> SAN JOAQOIN, COUNTY <br /> PUBLIC sRALT-U SERVICES <br /> BNVIIs'ONMSNTAL HEALTH DNISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> t 1�ar.+w �Sm �r Tuan �e«PHONE NO Z7Z <br /> ADDRESS ia6c Cs �� <br /> 121JON13 NO <br /> A13911CY NAME <br /> ADDIZ <br /> t+++*x***tt ti}a'1 }#i**,!**x#a+##aeta*t##r�#tx##xe#Y*tie#rro+tr+at<•a <br /> "iTQTTTPQ4 NAMR/ ��.C-8.8*� 04 . <br /> Tanr T. n>32ZS�5_ 'ITPH OP &ILF <br /> THIS NOTICE 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN TME'PUBUC HEALTH <br /> SFR VI <br /> HEALTH DIVISION (EHD) POLICY 094A07, ORDINANCE CODE OF <br /> GOVERNMENT CHARGE RESOLUTIONS, STATE <br /> SAN ENT CODE AND THE EVIDENCE CIIDE, WATER CODE, <br /> 1. A MAXIMUM OFE�1! 110) ?REMISE ADDRESSES PER REQUEST - <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY ffPDIyj:mT MI,Y.APPOINTMENTS ARE PROCESS <br /> - <br /> DH9Y CALLING RU FRIDAY EXCLLUIDING3HCUDAYS, 8 00 AM TO420. OFFICE HOURS R12:00 NOON APPOINTMENTS NDA;00 TO 4:30 PMMONDAY <br /> T <br /> . 3. A PUBLIC FILESMFCORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC-FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED SY THE EHD STAFF AT THE EXPENSE CF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE MILLED TO THE APPLICANT FOR PAYMEN(- lSF_E END POLICY Bb- 007) <br /> S. ORIGINAL PUBLIC FILES(RECORDS SHALL NOT Be RFMOVEO MOM YHE EHD PREMISES. <br /> ..............••a•••a T�••. a.••.••••af ffar.t4..t.�.••'••••���!?11rr141a . <br /> SIGNATURE OF APPLICANT `� <br /> , -�— DATE <br /> . SIGNATURE OF RELEASING ❑FFICIAL <br /> DATE_— <br /> EH 00 14,(REV 9/96) <br /> TOTrL P.02 <br />