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r 30 -9G 02 : 21p02 : LP P. 07 <br /> X77--SU-1'0 2 2°1.3{Ill I'IdA I U <br /> SAN .TOAQULN COUNTY <br /> PUBLIC HRAI,T1[ SURVICES <br /> ENVTRONMRNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RF.LRA.S'S APPLICATION <br /> APPLICANT__jQRHIIA f)Ib[v' PHONE <br /> AOTIRBSS I P{- r"l 0c no- <br /> G <br /> AGELVCY NAME , NO `}I 2q_9. <br /> ,ADDRESS <br /> a**#*a#+**r***t**i+ii+xtix#xxyf*+yi*it xik**k*rx+!*a;*ai+•*rafakx*a <br /> pili L AI)77K.�S,S BUST"MND! UQGR M.�OR <br /> FACI TT <br /> -- <br /> PARCFI.sI <br /> 11(x0 rIAF_�pN IzD• $a AY}I �� FACIt�G_PiG S f crtESE <br /> �Lo1"I5E AyF_ I ASL AkLO ST P- (00&'4 .ST (-LAST` <br /> ch L44+Is[ Avb EAST F <br /> 100 <br /> E0 <br /> 5.1631 [0 - OUj/ tF <br /> !Swan l AIZLAN DD ( tS1 <br /> ZagTESF ( �rJ <br /> *k**aati ik+*ais*i*rrxy****+*+#tai**i**}i*yti<+r*rx rRi ii*x*i rrki t** Z_j) <br /> THIS NOI ICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND Sf3RVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TRI.(,M PREMISE ADDRESSFS PFR REQUEST <br /> 2. PUBLIC FILESMECORDS REVIEW IS BY AFP9WNnE OMIY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209}488-3420. 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. A PUBLIC FILESYRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUPLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECILD BY THE EHD STArr AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT- (SEE EHD POLICY 96. 007) <br /> 5. ORIGINAL PUBLIC FILFS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ........ .... •1...1......I...................................Y+,............ <br /> SIGNATURE OF APPLICANT __ gj&fl�A,A g2 DATE` 30 _?_(e <br /> SIGNATURE OF RELEASING OFFICIAL DATE . <br /> EH 00 14 (REV 9196) -� <br /> TOWL P,02 <br />