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Mar, 26, 2007 11 .07AM aneed GeoE7vIranirenlaI No. 8033 P. 1 <br /> ���C,�F�j Ef-D <br /> ? 6 2007 <br /> 5 <br /> E1NVfRONNIEN T HEACM SAN JOAQUIN COUNTY <br /> PEMNIIT/SERVICES PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION : <br /> PUBLIC RECOR.€)S RELEASE APPLICATION <br /> APPliTCANT �+r , � � PHONE 140-C45-It <br /> ADDRESS - <br /> ACENCY NAME PHONE NO sk -syz-v --- <br /> ADDRESS <br /> FULL AU!]R SUSINE _N_LM,21 PROGRAM R <br /> FACI—LI'I'Y TYPE OE_ F�T1 <br /> 310 5 r PtAAob <br /> i - <br /> I <br /> THIS NOTICE 15 SUBJECT TO THE REQUI{tEMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EMD) POLICY 194-007, ORDINANCE CODE OF <br /> SAN JOACUIN COUNTY, EHD FEE= AND SERVICE CHARGE RESOLU710115, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. - A MAXIMUM OF TEN L101 PREMISE ADDRESSES PER REQUEST <br /> 2- PUBLIC FILESIRECORDS REVIEW I$ BY APPOINTMENT QALY. APPOINTMENTS ARE PROCESS- <br /> ED BY CAI-LING 12091458-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING }HOLIDAY$, 5:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 5. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> A. PUBLIC FILESIRECORDS 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, 1SEE EHD POLICY 94- 007? <br /> 5_ .OR1GINAL.,PVBLI.G F.ILESIRECQRDS 5HXL NOT BE REMOVED FROM T <br /> H1= EHD PREMISES. <br /> ..a 4 s•♦{♦ s a a .. +...•.. .. •.+a a •rare•..•••r a a***r♦T i♦i f+/.* a r f a a• <br /> SIGNATURE OF APPLICANT DATE 3 f"/o -2 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 {REV 91961 <br />