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.. iu <br /> 02--24-1999 09• 1`J 16Cb39dYl Yom.tn� 1 -7.T <br /> vu - '37FM,u,.F•.,. ..,,__, <br /> -24— <br /> i <br /> i, <br /> i <br /> i <br /> , <br /> SAN TOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> I ENVIRONMENTAL HEALTH DIVISION <br /> i PUBLIC RECORDS RELEASE APPLICATION <br /> I <br /> I,9,$P ICIVAT, OI-J ef• r- PHONE NO <br /> _n_. --7"-.--- �i�-��t2C4.lnr� Co r�c ✓Gi �S��O <br /> 11DD 8SSI m <br /> PHONE NO sa ^ - <br /> L a it -gx i^ . <br /> jDDItSSS <br /> Prr1�4 AnDixrss E3[ZII7ESS�I NAL PRBC nl� <br /> F <br /> FACILITYfPE OP PILE <br /> �'3I�o � Ldalx�' ,� '- LCrt,Ct;. �✓co. c'�� �1�� <br /> dmc- <br /> ,Y** {�}•};+#***+##*Y+t+#+++iii+#+i##x#x+*+++*+*++*#}##++rtittx+++** <br /> THI NO-14E IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUSUC HEALTH <br /> pER ICESJENVIRONMENTAL HEALTH DIVISION (EHD) POUCY 094.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOV NMENT CODE AND THE EVIDENCE CODE. <br /> 1. MAXIMUM OF TEN X01 PREMISE ADDRESSES PER REQUEST <br /> 2. PyBUC 1FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> - <br /> �D By CALLING 120914663420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:00 PM. <br /> j <br /> 3. I PU6UC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> 4, P�16UC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> AOR ECTEb';BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SER ICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY y4- 007) <br /> 5." IGIN,$L PUBLIC PILESIRECOROS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ....... <br /> $IGN+7UREbFAPPLICANT •` •` ;y+ <br /> +C• <br /> DATE /G7 <br /> SIGNTURE OF RELEASI OFFICIAL OATS <br /> Ell 0 14 (REV 9196) <br />