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�(�qat tj qq- <br /> sRFCElVEFl <br /> APR 19 1999 <br /> SAN JOAOUIN COUN'rY fHI\IV I HON MENTAL HEAI-.Tr! <br /> PUFkbIC HEALTH SERVICES PERMIT/ SERVICE`• <br /> ENVIRONMIEN'17AL HEALTH DIVISION <br /> rPU13LIC RECOIZ13S RELEASE APPLICATION <br /> APPL,"ECAN'r ll PHONENOorg - ~ I"I r` <br /> ADDRESS �(ly_ ~I L <br /> AGENCY NAME PHONL <br /> ADDRESS <br /> Of 4*** **#•k **4**** k ***#**** k <br /> FULL �1llDRESS <br /> [3USINLSS NAME' PRQGIL_1M OR / <br /> F11CLL1'i'l _rYPG OE FI dc-- <br /> �5� lli LN u-'� u a>r ' <br /> ,ls <br /> 4 k * 4 k 4 ##*# * 4 k#* 4*## k ###* 4 k # # * k*# } # # *#* k* k### *#* **#* * * k 4 k Or** * k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EFID 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 FILES/RECORDS 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 /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> A. PUBLIC FILES/RECORDS NOT RETURNED IN THE :.TAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE E14D STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/REC RDS SHALL NOT BE REMOVED FROM THE EFED PREMISES. <br /> -I•� �,,+ I <br /> . . .... .. . .. .. <br /> SIGNATURE OF APPLICANT 1, DATE (iijjj IIr <br /> i' ��� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 IREV 9/961 <br />