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G C,CJ ..1 U / - 1.-.rf"1.1 - ....-.-.i ltX•''T'f�i•iK.vim✓ <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1►PPLIinm <br /> CANT C aJ adv ESP PHONE NOG V5z P!6 <br /> �04 <br /> ADDRIESS 11 G -04 �hlot <br /> AGENCY NAME PHON NO <br /> ADDRESS �cy fa% WF/> & &9 � o� <br /> i <br /> *##*t,�+f �,t# k##�,##aa+*#,►,t�+r#*+t+#t#�t+ttt#**#t+t,rt##*##+rtt,lt#ti►tt#t <br /> Fit LL ADDRESg BUSINESS NAME1 FROGXAM OR <br /> FACILITX TYPE QF FILE <br /> 1ysT R l J <br /> S _coo Z 17.41Tttrl_I�c. %-���'r4.�,ero�.•' ••s: <br /> 561 MalkTA a. <br /> 7 o m-- '.A t. Sib -tan Ak L- 1 <br /> 15 c P' re c#L__7A^S mss" 7 Rpt <br /> zi5 �r [..�•yg_ f�A�a �# 760 3 s a y nay � { . -- <br /> Ib 2',7H [�{E eK;L��r�. �..411t �n�RD .-6- <br /> i+#it##,tic#tL#t###�cir#aJr'4#�r#t1 #t#t.�i44tt#tir#}}#tic# k'klydrdrt##,Yi##ttrikitir'k - <br /> THIS NOTICE IS SUBJECT TO THE FIEQUIREI FKrS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IE-HDI POLICY 094-007. ORDINANCE CODE OF <br /> SAN JOAOVIN COUNTY, EHD FEE AND SERVICE CHARGE. RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN1�I PREMISE ADDRESSES PER REQUEST <br /> .7. PUBLIC FILESIRECORDS REVIEW IS BYP� POINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 13Y CALLING 12091468-34213- OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THAV FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM: ' <br /> J. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REOVIFIEDr <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COPRECTFD BY THE EHD STAFF AT THE EXPENSE <br /> FOR PAYMENT.THE AP SE EHD POLICY 9PLICANT. THIS 4- 007)SERVICE WILL BE BILLED TO THE APPLICANT <br /> 5. ORIGINAL PU5LIC-Ft4ES/RECORO5 $HALL.NOT BE REMOVED FROM THE EHD PREMISES. <br /> 04. <br /> SIGNATURE Of APPLICANT ��i1tL� lt�.i�1� DATE <br /> SIGNATURE OF RELEASING OFFICIAL DAT <br /> EH 00 14 IREV 91961 <br />