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cv a Vviui <br /> Stft\ COUNTY <br /> OUNx 1��+ <br /> PUBLIC HEALTH SERVICES <br /> F24VMOM2g1WAL HEALTH DIVISION / UD <br /> PUBLIC RECORDS RELWE APPLICATION <br /> APPLICANT nn , I pRom No (qi O <br /> ADDRESS ,tL <br /> ACENCY P1Ai4iE ,r c s PHONE NO <br /> ADDRM IIE^-rlllr D <br /> "&N%FVMI ir L; <br /> ADDRESS LEAD AGENCY ENVIRONUWAL HEALTH <br /> PERMIJ/SERVICES <br /> Alr 0 ARCO 46020 1-1 /1 <br /> LF at�w+n tart �• �f <br /> r 4�XX�1'I of _1cf _n SPm,t- <br /> v <br /> k OwCI rtl r7 <br /> .51n7 <br /> THIS NOTICE IS SUBJDCE To THE REQUIREMENTS IDENTIFIED IN THE PUBLIC REALTH <br /> SERVIC2S/ENVIRONMENTAL HEALTH DIVISION(IIID)POLICY M-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, Lwo pEES AND SERVICE CNA � RESOLUTIONS, STATE NATER CODE. <br /> GOVERNMENT CODE AND THB EVIDENCE CODE. <br /> 1. A MAX34UM OF TEN (10)PREMISE ADDRgSSES PER REQUEST. <br /> 2- PUBLIC FILB&RECORDS REVIEW ARE BY APpOIN'L jEXr ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING ("9)469-0340. OPPICE IIOURS FOR J+,T?POIN KENTS ARE SCREVULFID <br /> MONDAY TkIRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 12!00 NOON AND LIDO P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION <br /> 4. <br /> D <br /> 5. PUBLIC FLLB9/RfiCORDS NOT RM URNED IN THE SAME CONDTITAN A3 RECBIVI,D WII..L H1: <br /> CORRECTED BY THE $HD STAFF AT THE E SNS15 OF THE APP11CANT. TWS ADOMONAL <br /> SERVICE WILL.IIB BILI TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUSUC FILBSMECORDS MALL NOT BE REMOVED FROM THE FHT?PREMISES. <br /> SIGNATURE OPAP1'LI DATE �- JAI q <br /> SIGNATURE OF R ASLNG FFICIAL DATE <br /> EN 00 14(REV 12/92) <br /> 20'd 8L9ZZ%9 T 6T QL WMW Wt%:LO tr6+6 T-9�-S0 <br />