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99-30-1997 07:35PM FROM ',i i,i., ;�!a�',I_�I TO 2667126 P.01 <br /> Iab <br /> 1117 SSP 3n r.'I 9: 03 <br /> SAN JOAQUIN COUN77 L <br /> PUBLIC HEALTH SERVICES <br /> i ENV1"RONM9NTAL HEALTH DIVISION <br /> PUBLIC RECORDS "LEASE APPLICATION <br /> APPICANT Gl Uo�V PHONE NO 7*17!&701 <br /> AAD SS <br /> AGE CS NAMES n vr- I 01 PHONE NO <br /> Annr,�ss •"�"�° <br /> i <br /> ft#eft#tt++++t++#+ttftir+++•r+rtrt+#fsrf+++#*+ttrrterf+++rt++tt##i##+rr <br /> FULF, ADDRESS BUSINS 8 / ,P$QG_ m OR <br /> e+r n"_ wI ins Z 5 T <br /> z.rT� <br /> -732- La f'E r 5 a,4 L <br /> u <br /> 5, <br /> crirn <br /> /I <br /> ALL.ty± ( <br /> 36 Afwrrn y� ���cr�loofil�.t:r+ fp U� <br /> ��r�wf Rtxt+�++w:rtf 4xxxt+#+ • •rtwrtw +� riirrt/r♦xrt#f+* + t 4# <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESlENVIRONMENTALHEALTH DIVISION (EHDI POLICY /94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVE�INMENT CODE AND THE EVIDENCE CODE. <br /> 1. A {{MAXIMUM Of j +BOJ PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY ApParfr IFNT ONLY,APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209}40$-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRUiFRIDAY EXCLUDING HOLIDAYS, 9.,00 AM TO 12-N NOON AND 1.00 TO 4:30 PM. <br /> J. A IIU FILE$JRECORDS RELEASE APPLICATION IPFRA1 15 REQUIRED• <br /> 4. PUC FILES/RFCORDS NOT RETURNED IN THE SAME CONDITION AS.RECrIVED WIU. BE <br /> CORRECTED BY THE EHD STA" AT THE EXPENSE OF THE APPLICANT, THIS AnDITIONAL <br /> SERVILE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 007) <br /> S. ORYCINAL PUPUC FILESIRSCORDS SHA OT BE REMOVED FROM THE EHD PREMISES. <br /> ..a aa�`Ias....r aa.aa..a..a.. •." ..a♦ ..............•....H ... ...a..... <br /> SIGNAITURE OF APPLICANT \ DATE I �ag <br /> 51GNA�TURE OF RELEASIN OMI L1� r' ���� DATE `v l� 1.1 <br /> I: EH 00 14 (REV 9/89) <br /> ILII I TOTPL P.01 <br /> TR:71H.: R:tRb9b:NL 92TL892602 SBtil 9NINLMl:WONd fV:80 L6 02-d3S <br />