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97- <br /> SAN <br /> 7 SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION ! <br /> J l.J/UJ Y4x:-i3GC1 <br /> APPGiCnrr•T' L/lL.u�>!c44 .�k'c!'�' PFIONE No <br /> AnnRESS & oG,JF.tiS t7R.ry L.�'4S A(MA ,_64---_�'1 <br /> 1kGEPA<"7 . NAME dTL/_ St4.7�.5 PfiONE NO S!y fiO-J36fiU <br /> ADDRESS <br /> 14444'}#i4t#4iliAA4k'}*i## k4+##i4#**#} i4}i*}i}} 1 }} }44441 i**i4#*#}*t <br /> 1=iTG_1.�_IaTJDR.Fi�S. BUSINESS NAME PP_ F2AM_OR <br /> FACILIT'.` TYPE OF FILE <br /> AN3 Nit i� e�1 on >✓k& L'eli it / [[A e GQnevct>`cY' <br /> ga-o S._I�_��c�r.Sy_�• v r1 +�f � i 57 <br /> ! f+nrlr4•ulk�;� Stanlfcrl n . � s x � ��. <br /> T1115 NO�'ICF 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOVIN COUNTY, FHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE. WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 , A MAXIMUM OF IFN jzj PREb11SF ADDRESSES PER RFUUESI <br /> 7.. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CAI.I.INE I209146H-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRV FRIDAY FRCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PIJRUC FILESIRFCORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN 11 IF SAME CONDITION AS RECEIVED WILL BE <br /> CORHFCTED BY THE EHD STAFF AT THE FXPENSE OF TI-IF APPLICANT. 71115 ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT- (SEE EHD POLICY 94 0071 <br /> 5. ORIGINAL PVOLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE CHO PREMISES. <br /> . . ....... .... ..... . ..... ....... .... ................... ........... <br /> gGNAFURE OF APPLICANT 0jA.4 k%�_ GATE <br /> SIGNATURE OF RFI-EASING OFFICIAL- DATE <br /> F-H 00 14 (REV 9A86I - <br />