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ksl�A <br /> � HE C /E gam^, <br /> APR 19 lggg <br /> SAN JOAQUIN COUN'T'Y HVVIIIONMENTAL HEAL.T I I <br /> PUnL:rC RI4ALTrl SERVICES , PERMIT/SERVICE`. <br /> ENVIRONMEN'T'AL, I111;AL'I'II DIVISION <br /> PU13fi rc RECORDS REI,EAS8 APPLICATION <br /> APPLTCAN'1' PI10N13 NO <br /> ADDRESS _cy_'�uui ; - 0)"2 1W . <br /> fA 010 <br /> AGENCY NAME PIIONL [4v <br /> ADDRESS <br /> k 4 4 Or k k* 4 k k A * # k# k A k k* 4 k * 4 k F A # k# 4 A k k 4 k F 4 4 4 4* k k A k A k F A k k # +# k k A 4 4 # <br /> DULL ADDRESS BUSINESS NAME <br /> l PROGRAM OR <br /> LA�CILI'1_Y 'L'YL'G OF L IL ' <br /> C '1 111�flI Lrcuc, _5tQ� Qa it rwI&A-far . <br /> ' A = _l�Cly_ ri�etacfo ► C,r�n <br /> k * k k <br /> THIS NOTICF IS SUBJECT TO THE REOUIREMENTS IDENTIFIED IN THE PUBLIC I IEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EMD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN 110) PREMISE ADDRESSES PER REOUESI' <br /> 2.. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091408.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> TI4RU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESMECORDS NOT RETURNED IN II IE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TI-IE HHD STAFF AT 'IHE EXPENSE OF THE APPLICANT. TI IIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 1-1 IE APPLICANT' ['011 PAYMEN 1'. (SEE El D POLICY 94- 00 1) <br /> 5. ORIGINAL PUBLIC FILES/IIEC RDS SMALL NOT BE REMOVED FROM 11 IE EI ID PREMISES. <br /> . .. . . . <br /> T . . . . ... . . . . . . . <br /> SIGNAURE OF APPLICANT , _DAl <br /> v= <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 9/90) <br />