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r -• - - - _ - D,,[�/y ��--,iia- <br /> 9 r <br /> SAN JOAQUIN COUN'T'Y <br /> _ ir�Ys- <br /> 7 PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO'. . <br /> APPLICANT <br /> - ADDRESS_ S �. PHONE...NO. <br /> AGENCY NAME , <br /> ,s. <br /> ADDRESS <br />�. v 4r,�t*�'k*'*'kylr*'k********#]f**##*'�''t <br /> BUSSNESS NAME' PROGRAM OR 4 : <br /> FULL ADDRESS ` FAC'ILITY TYPE OF FILE ' s <br /> Li a r t' <br /> 5 � <br /> ' f r <br /> -fc�-k'�I'�k'k�k�r#*7k•k'lkAr tlr�dlrtttilr*fir* k�ir*fir*fckylr*lk***#ir##i-*tilt***it#* <br /> IC <br /> TH <br /> t'•.- <br /> r THIS NOTICE IS SUBJlDtNTIFIED IN THE UBL <br /> ECT TO THE TH DIVISION (HOIPOLICY 1194 007,ORDINANCE CODE OF 7 <br /> REQUIREMENTS <br /> �xm <br /> SER ICESIENVIRONMENTP+LREAL <br /> SAN IOAQUIN COUNTY; EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. w= <br /> . GOVERNMENT CODE.AND THE EVIDENCE CCrDE �5 <br /> y C- <br /> A MAXIMUM OFTEN 10 PREMISE ADDRESSES PER REQUEST <br /> s: <br /> APPOINTMENTS ARE PROCESS <br /> PUBLIC EiLE51RECORDS REVIEW IS BY AP— NTINENT ONLY: <br /> 2U: OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> i� F'Y <br /> ED BY CALLING 12061468=34 <br /> Ti-kI�U F tlDIS+Y EXCLUdING HOLIDAYS,' 8:04 AM TO 12:00 NOON AND i.00 TO 4 30 PM. <br /> A PUBLIC FlLESIIECORDS RELEASE:APPLICATION (I}BRA) iS REOU11iEb }', y <br /> a 1_ a <br /> PUBLIC FILESIFIECORDS NOT RETURNED IN T11E SAME PPDLiCANTA <br /> 'THIS ,4DDIDT ONAL; � <br /> t CORRECTED BY THE EHD STAFF AT THE EXP <br /> I=NSE OF TN <br /> := SERVICE WILL BE 9ILLi:b,TO THE APPLICANT 1'OR PAYMENTS I5EE E=HD PO4.iCY 94-.0071 <br /> � v �. <br /> x rte_ <br /> 3 5, ORIGINAL PUBLIC FiLtS1RECORDS SHALL NOT BE EIVIOVED FROM THE EHD PREMISES.'; <br /> ji <br /> ,►##;♦1##As#���lsii#i#ii#t#l�i####!aa#4.#�}�jli4#####?�#�#�•ai+s�•*•itt�aatat• <br /> DATE <br /> 51GNATURE OF APPLICANT y <br /> :SIGNATURE OF RELEASING OFFICIAL <br /> DATE ' <br /> k , <br /> EV 9196} <br /> i EN 00 14 IR <br /> s ' <br /> 5 <br />