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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLI/�C RECORDS RELEASE APPLICATION <br /> APPLICANT /Gehl L5• & eri'f/z PHONE NO 9(6 4 -7,9 ^ z3c((o <br /> ADDRESS_ ;2-3-to.Crt<kwR4 99EAr)k ,fvrfc (on'' S0.Crg ¢��n cam+ gS g33 <br /> AGENCY NAME PFFONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> �9 $ S1'4NrSla,J S}Kth ttf ze(( � ONGrt7r l' 7'hc, ?5� -� Ol' Ga5 5tLa4/an <br /> oil 5tA"!jIa S r'c2Lq' 'nc of — 645sf-,Ada <br /> �•o'� 3. Ga(l�rnta� ShcrnaSzoz wtwfa.n <br /> Van d-f'7'vraI at ` (50.S -5K44(6'-) <br /> 3oo 5 Ca(�Farnlo SfKx� gfao6 Gr< orr Service 57aFror� 3Szv mf ^ �4i Sv�a ton <br /> r! S GA(�F•rn2a StK}n gfo3 S;ceeFren /4M.r:4.re�r°fo16s/�.Ft m(- Ga.r - i<CU 6m <br /> }•/l $r Jlo,n_lvrN ShFrn kS•To3 <,,... f onJfy F.cbr�ur�e,lve• .`S`,. , of r�ra,r SJ<41rton <br /> (p3� 5 6r Ao a92 StM1rn 4s3o(� SFbUG7COn 1>(a7 r«, Inc, .ir sr� GaF spa �rvn <br /> 5'3^ S. CeH;�t� Sr1�rh Z S:n..2 f�[i�/c- Ga! SCS'/ecXrrc �-9SU �YS�I-GAS S f�1Koh <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHO) POLICY 1194-007, 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 10 PREMISE ADDRESSES PER REQUEST <br /> 2: PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <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 /> j 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS 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 EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ... . ., . .............. ................. <br /> SIGNATURE OF APPLICANT , � DATE 3 30 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />