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//e <br /> SAN JOAQUIN COUNTY , <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL' HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> -I G:aE� PHONE No 2cci �- Llb7- /co la <br /> APPLICANT I'M , ,lam � Ad�a.,�cn <br /> ADDRE•SS�pDS IV4e t lkQn waw 541010LO& so I?k7a"7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> xx+ t#*#kxA+ 4A*+*tt4##+#tiai4*a+++ra#4A*a+txaa# 44#k*a#*4a###**4*ti <br /> FULL ADDRESS BBQ UNES&NFIME/ PROGRAM_0 <br /> FACILITY TYPE OF FILE <br /> MW Al.R7rT A91n 5f ree} ! 9# Tt A O <br /> );1(4F) /(t•R77+ I , 7(T A <br /> l 40 aR1)V MAS 1 cP1 A,YrtCA <br /> no <br /> )ZSc )V A7N NAi,, s-lJet-� /17ANTt[r4 1Rncastt{Lt 4R4/ + S1urAc� <br /> La71 e)aR of n4R.n S+rre+F"Iv7t5-& Slttl�_ <br /> I/So N.'aA+n S+ eel" pjq,w,,cn !;K>;•r I Pt <br /> �Jms7 ivy. MRn7t« Y�}EL s IiA z R,Fo ✓\ <br /> t 9� Na2Z n;n 36tl! i re�H <br /> 17-75 Noa-r4 ohgin in n7 �RPIF �v34-� <br /> as as raatxr#tot r+a# #t+aa#rraa4ra r+xr++a+rt*++r+*a#a+aaa#*ak+#+a*aa <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY &94.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN j10( PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420- 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 FILESlRECORDS RELEASE APPI,,ICATION (PRRA) 15 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. (SEE END POLICY 94. 007) <br /> 5. ORIGINAL PUBLIC FILESlRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •. ... . .......11.......•11 •Ir• ....... •r..1� �a........ .......... <br /> SIGNATURE OF APPLICANT .11 _�� / .DATE ^-II <br /> SIGNATURE OF RELEASING OFFI t Il,lf✓ v w�lJ DATE �K �l C/ r <br /> EH 00 14 (REV 9196) <br />