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10-31-1997 09:3[PP1iRFY1 14153912008 P.R2 <br /> 1 <br /> I SAN TOAQUZN COUNTY <br /> PUBLIC HEALTH 82RVICES <br /> ENVIRONMRNTAL HEALTH DIVTSION <br /> PUBLIC RECORDS RBLEASB APPLICATION <br /> APp�IC1lNI {} PHONE NO Yi S- 34A:fir/y <br /> ADD1�ESS 1 t 5 PHONE NO <br /> AGEIbCY NAME - - <br /> ADDESS <br /> #i . I}I *ii'tiii L*Maa * Y# .###i* *ii##iti Mi+ii**ik##t it'.tt#iti.iviY ii k*t#* <br /> � Ir.d. � DUSTNE38 [JISMEL p$OGRAM OR <br /> FACILITY TxPE OF FILE l <br /> 4 wna(tl wTorJVol <br /> Lot <br /> 0o nUy aA.ldt _ ..f 1`�slS.7oez�ft^^ ate- ra+ + _ <br /> I - <br /> i♦**4.iii*#i#*i#*ti#t#tit * # ltti * l } R*i kttiit lti###hitt*****##i#ii! <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SFR ICES/ENVIRONMENTAL HEALTH DIVISION (ENO) POLICY 094.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TW{tom) PREMISE ADDRESSES PER REQUEST <br /> 2, PUBLIC FIL£SIRECORDS REVIEW IS Ry APP(�ILITMENT ONLY. APPOINTJ4SEN1 ARE p(IOCESS- <br /> ED MY CALLING 12011MOS-347.0. OFFICE HOURS FOR APPOINTMENTS ARE SCI EDULEn MONDAY <br /> THRtII FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. r . <br /> 3. Aj PUBLIC FiLESIRECOROS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4_ B1 IC FILESIRECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COR E&ED 9Y THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SER\ ICE WILL BE BILLED TO THE APPLICANT FOR PF%YMENT, (SEE EHD POLICY 94- 0071 <br /> B, C IGINAL PUBLIC FILESMECOADS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT p 1 , L1 ��i DATE d J <br /> SIGNATURE OF AF,LEASING OFFICI W J V�'OATE I r <br /> EH 03 14 (REV 91961 <br />