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111636411389 P.01 <br /> mcebed <br /> 10 1919 V4 .,e� <br /> r <br /> ,7 <br /> S E P, 09 1999 <br /> VIRONMENTAL HEALTH <br /> ---x-tN COUNTY . <br /> PUBLIC HEALTH SERVICES PE• fig/ SERVICES <br /> ' ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> .1�.7T AvCM'�C�r root i� <br /> APPLICANT_]g CO(�=n ler�w�iurw � Sv t PHONE 130 916 36q-007 QJ- 223 <br /> ADDRHSS 9a l 2 13us:wss t�nrk price I Su;�c it co• •Sacrainestiio w /A <br /> AGENCY NAME �t/A PHONE Np NW <br /> ADDRESS u/> <br /> FULL ADDRESS /BUSINESS NAME/ PROGRAM OR <br /> FACII{ TYPE OF FILE <br /> Gal `SA Lockcl�.A � j ct4u" C WmJ 4brrr-Xi L_vsT <br /> Lode, cA Forria, At SAms.n co.s;jr.Ai.h `)s.A <br /> G 81 Fea .,r k,. rA Vn r I P;t.r1a- C wool P. m rb Ly ST <br /> Leen:" CA- <br /> f;159 6,SL two's d R.n ctax - c we, LUST <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 954-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, END FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY.APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 120914683420. 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 FILESIRECORDS RELEASE APPLICATION (PRRA1 IS REQUIRED. <br /> 4. PUBLIC FILESiRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT_ THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE E}ID POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...............a.r.r.r rr* rr... ..aata4a...r...........*...... <br /> Y•r....r <br /> SIGNATURE OF APPLICANT qFf /AAIt��� DATE _yj 2j _ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) FAX (209) 464-0138 <br />