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Sgt. :31J -96 02i 21-:LP P_ OT_ <br /> ChYJU-lTJ' U 2 P 111 1-1 I U 14 7 P.f77 <br /> 1. SAN SOAQUIN COUNTY <br /> PU13LIC HRALT11 SuRvicES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RF.LRASE APPLICATION <br /> APPLICANT_JOAM44 fllber PHONE NO 415 Zf34 ��•� F <br /> ADT)RRSS Iq Na GrICI . Yve{- , s A ploor Sj6 rA 4h1{J�, _ <br /> AGENCY NAME Pa e ui e. F u�ln v� PIIO NO 41 � 2 <br /> ADOR855 �9_9.L�f _ <br /> a###**#**##aaa#kxttt t+ir*w#wwww##i#:ia aikx*k*raw.#####*air♦a#**#a <br /> FT1Ti L. WlI7}j�$,S ApSZN�+�.N11M(:/ 1SSXi tj�OR <br /> L�iLr�x TYP1zvF E•ZLI? <br /> �Lo rIAF..LnN Rv. sourli±Cn) F�1f1G�S_L '✓ T L,aKrESE <br /> S {B,J� SAVE f_AS.,j <br /> wed- <br /> Ar-CO Sr a r=lnoO Sr LUST <br /> 3H5�Qut5F AVE EAs3 FULL-E It_LIaS1� �;fpriF1,(ST !-u sr <br /> 0o EASr uwU : ftyl:, ..-.._ L18dY 2� L.855000lI AL S!T D T .SF <br /> ,IQf•5-10 .I yNPO I A Q LA N IZD (� S I L¢R,I,(<.$•�_` � '� <br /> ##*t##ti{t**#it*ikxw ai***#*#iw.•a#*##*i*#iii<+aiwk******t*ixtf tia /�-��uL�II <br /> THIS NOl ICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #9"07, ORDINANCE CODE Or <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 3. A MAXIMUM OF Tom+(J= PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY At'.r2WPff2 T ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)4663420. 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 (PRRA) 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. fSEE EHD POLICY 96. 007) <br /> 5. ORIGINAL PUBLIC FILFSIRECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> .........................I. ,............................................... <br /> SIGNATURE OF APPLICANT Q.p (y DATF41 (, _ <br /> i7 <br /> SIGNATURE OF RELEASING OFFlCfAL _ __ DATE <br /> N1 00 14 (REV 9196) <br /> T04c P,02 <br />