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Pv-A .e c) 73' <br /> q�-o3 3 <br /> SAN JOAQUTN COUNTY <br /> P[7HLIC UEALM SERVICES <br /> H19VIRONbZNTASs HEALTH DrVIST_ON <br /> PUBLIC RECORDS aRmj. pSE APPLICATION <br /> 1 Tr GIG <br /> APPLYCANT Q�}6M'AhJl9y , eaoNs NO �8a5 s7�� r2z1 <br /> ADD1Q63 q20 p—cey v_rIG pr' �mccysu Cfl- `7535 <br /> AGENCY <br /> ADDRESS <br /> xrrxxxrr:rrxxw xY*rrrxk Yrr isr+•.+k ki*kik{iiia++-r.+**##++#ti*4#♦••a <br /> FUTiL ADDRESS BI INESS_ita:4+ L PROGRAM OR <br /> i FACIL•T1'Y TYPE OF RILE <br /> P-yylcrl crk:n jt ,....6? �in(yrRONyY�ErY-triL <br /> ****w*w*i4*iii kx*'kid'ww:Pwxwxxwx*zt*it#xr'fxwi•##i#i#+T*!*tkt*r'fr4 arrt <br /> THIS NOTICE IS SUBJECT TO THE REOUIRE4IENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESfENVIRONtAENTAL HEALTH DIVISION (EHD1 POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOUM COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVEfWMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN 1M01 PREMISE ADDRESSES PER AW LEST <br /> 2. PUBLIC PILESRECORDS REVIEW 15 Uy pyQrj MENT ONLY.APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)4$sa420. OFFICE HOURS FOR APPOINTMENTS ARE 5CHEDVLED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8.00 AM TO 12:00 NOON AND 1A0 TO 4:30 PM. <br /> 3. A PUBLIC Fil-&&RECORDS RELEASE APPLICATION IPPJW IS REWARED- <br /> 4. PU9L1C FILF-siRECORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS AJ)DMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> S. ORIGINAL PU13UC FILESJRECORDS SHALL NOT BE REMOVED ROM THE EHD PREMISES- <br /> ----------- <br /> REMISES_•1 ♦s -------- <br /> •♦ • •a{•�{••Y {a ii•i{{♦ i!i •L iaa ii••• <br /> SIGNATURE OF APFLICANT DATE-'-"pZT- <br /> SIGNATURE OF RELEASING OFFICIAL Dare <br /> EH 00 14 [REV SMG) <br /> luuL. P.92 <br /> P.D2 <br /> 02-04-1997 12!45TT1 <br /> TOTOL P.01 <br />