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SAN JOAQOIN. COUNTY <br /> PUBLIC HEALTH SERVICES, ' <br /> ENVIRONMENTAL HEALTH DIVISION 1 <br /> PUBLIC RECORDS RELEA8E 'APPLICATION <br /> APPLICANT ' \�1� ?Q C � PHONE NO <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ##*#w**tr*ttkrr+#,#+***#t#x+#i##*#*+##+w##+*t######t*rf ttx.fi;r•#**t* - .•' <br /> PULL ADDRESS HU INESS . NAM_E/ PROGRAM'OR <br /> FACILITY =28 -OF PILE. <br /> 5457 p- I I low 16"W6 <br /> . .•. *it+*#*#*�*#**w##*#*##**Yfff*x**#***t+Yt"*#t*##'w*###rt#+i*}t'i-3/yr}fit=" - <br /> THIS NOtICE 1S;SUHJECT TO THE REOUIREMENTS,IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESlENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 1194-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERpdMENT CODE AND THE EVIDENCE CODE. <br /> i; A MAXIMUM OF Mi0 PREMISBADORESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTM NlgffiY. APPOINTMENTS ARE PROCESS- <br /> ED BY.CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY •• <br /> 7HRIJ FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00•NOON AND 1:00 TO 4:30 PM. <br /> 3. .A PUBLIC FILESIRECORDS ji SE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC RLESJRECOROS NpT RED.IN. E SAME CONDITION AS RECEIVED WILL-55 <br /> CORRECTED BY THE EHD ST FF A TH EX OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILT. BE BILLED TO HE ljfPPLI F PAYMENT- ISEE EHD POLICY 9Y1—.0071 <br /> S. ORIGINAL PUBLIC.FILESIRE RD SH LN BE REMOVED FROM THE EHD PREMISES. , <br /> ' ittft 4ii d.of t.f ii fllay s♦ ♦. •t `�at♦a le ia.atHe••�att�a#t+�xx waf w.'. � . . <br /> SIGNATURE OF APPLIC DATE <br /> T <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> G EH'00141REV9/961:. <br />