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PC FIVED <br /> s JOAQUIN--Ca[namY <br /> NOV 2 2 1999 PUBL C HEALTH SERVICES <br /> BNVTA WPrZr.._PC„ALTP nTVT.—STON <br /> \i.'•IiRO�' vMEN IFIL HE IC RECORDS RELEASE APPLICATION <br /> 7)Gp^ajT �ER'%,'ICEc <br /> AP1?LLCAN'] .TfMW C IIiC. PHONE NO 466-5311 <br /> ADDRESS T. <br /> A skf Y NAME PHONE NO <br /> ADDRESS -" <br /> #tttt#*xYrYxYYYY*+++tttx** Y#***wrrrr!'xtkr*xt#rtxrxxxt*w+ww*xttwr <br /> ;:°�TjiL ADDRESS PROGRAM Oil <br /> CTLITY TY�Fa OF FTr.>; <br /> v907 S wmsON wAAy _ <br /> 924 . S. STRRRA NP.Cr>m S ANY-- <br /> THIS <br /> 1YYTHIS NOTICE IS SUBJECT TO THE REQU REMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DI ISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND ERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT COOS AND THE EV105NC CODE. <br /> 1. A MAXIMUM OF UU ftI1,1 PREMISE A PRESSES PER RSOUSST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPf11NTMFNT nNI Y APpOINTMENTS ARG PROCCSS <br /> ED BY CALLING (209)468.3420. 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 F(LES/RECORDS RELEASE APPLICATION IPRRA) IS REOUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRCCTEn BY THE EHD STAFF AT THE EXPENSE OF THE APPLJCAN C_ THIS ADDITIONAL, <br /> 3CRVIQP IMIIIJICJVIIrP TCI THG 114Yl 11' Nl rl ur vnLMtinU IL5E.SHmrloUCVQj QQ7i <br /> 5 4FilWNAL PuaLJC SN 41. NOT OC AIljVIOVCU I ltvm'1'HE EHD Mi!tvllSaS. <br /> a.ra..•....aaa aaa.a.............•.I................•r.•.aaa lar........•r <br /> CIONATVAC OF AFFLICANT UAI C <br /> SIC,NAT11RF CIF RFIFASWR CIKf.WtAl_ --OATr <br /> SH (10 14 (RFV A/ARI <br /> �e� {-o Courier t 21 OZ-( 99 <br /> TOTAL P.01 <br />