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-r <br /> SAN JOAQUIN COUNTY <br /> PUBLIC ITEALTII SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �. PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT- d/&.Ue447 047'AS PFIONE NO <br /> AnDIZcss (ot'& 0[..»7uSy vim, 7a—A–S-A—AMn_7, 64 fVs4l <br /> lkcpNCY . NAME ril47-5 &.19- PHONE NO SIS . loo•-i.3Ex0 <br /> AODRCSS <br /> ii . M#W*#k* f**** iiAk'###i# #***#*k*****k**k#**i* * k* ik# * k#*♦}**#***** <br /> HUJJ Al BUSINES.� NAME PR RAM OR <br /> EACILIT'= TYP �&.Fnee�i <br /> NN-� �< 11r. ✓��.4�, kfort f'l(k G l;�z✓rl(it 14 tAe <br /> u Sfzrli_ Q� [ S7 <br /> 91 lei r..0 <br /> _LLl1__N¢-. Yr ,Sh. fa.'1 e - iaeess:Kg t r <br /> 0 S <br /> / ++ - ]/QYI. a Pol T✓r,c S7ar L-tt S <br /> 121NyUlrSt1iW( ft lriLf it 4llt2 rw ✓�%o5cf/Tn9 QIP <br /> Jy/� Na Vu J7ri✓�, it+ e s arp. QST <br /> k*# ## #k*****k******k##k*** k # k#*k** k** #***************#*********** <br /> 'n IIS NOTICF 15 SUBJECT TO THE REOUInEMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL IIEALTH DIVISION IEHDI POLICY .994-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> (,OIIERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN JjJ0 PREWIISF ADDRESSES PER REVUES 1 <br /> 2, PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209146R-3470. OFFICE HOLms FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> '114RU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC: FILES/RF(-.ORDS RELEASE APPUCATION (PRRA1 IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> C:URHFCTEO BY THE END STAFF AT THE FXPENSE OF THE APPLICANT- THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE CHO PREMISES. <br /> . ... . . . .. . . ....... .... ..... . ..... ....... a.. ....I.. .......... .. ........... <br /> SIGNATURE OF APPLICANT _g/��� �J� _ DATE <br /> SIGNATURE OF RFLFA SING OFFICIAL / DATE <br /> FH 00 14 (REV 9/961 <br />