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llovvto -Irr11CB IA 002 <br /> 06-22-1998 11:57PM FRaI`I TO 14153821856 P.02 <br /> EX P� TE <br /> SAN JoAQuIN COUNTY <br /> PL-BLIC HEALTH SERVICES <br /> MWTRONDMML HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> A�PLICANT6 (Z0 L RESOLUDONS PHONE NO I5 3SZ—S`lq � <br /> A1�nR SS DIG ) AL. bK- SU17t G A10\1 v C41 a4F-9'r9 <br /> aGENCY Nig PHONE NO <br /> AI DRESS <br /> F[I.L ADDRESS nrraTxRaS NAND/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> Z P P1G hys of S kirl USTar <br /> 12 3sr�4 <br /> Al <br /> aF <br /> U9 / kTI <br /> r C <br /> L �>> ve <br /> * 23o+}PAy I i f'ri **.*ftRNEP0 CAR- 6 It <br /> (e0$ N. psRS)++N(,• f QsµrNc ctf£vRoK s z ' <br /> LT <br /> S NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> S VICESIENV)RONMENTAL HEALTH DIVISION (EHD) POLICY ?94-007, ORDINANCE CODE OF <br /> S N JOAQUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GVFR14MENT CODE AND THE EVIDENCE CODE. <br /> 1 1A MAXIMUM OF IM! (10)PREMISE ADDRESSES PER REQUEST <br /> 2_ 1 PUBLIC FILESIRECOROS REVIEW 15 BY APPf' OINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> 0 BY CALLING (209)4683420,OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO IZ•00 NOON AND 1:00 TO 4:30 PM. <br /> 3_ I A PUBLIC FILESIRECORDS RELEASE APPLICATION (PARA) 15 REQUIRED_ <br /> 4, I PUBJ:)C FILES/RECORDS 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 /> SE VICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 0071 <br /> S_ ORIGINL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ..�......a s4.44.44.....•a a...... .4*+ "4.4*....................4........44 <br /> S16NATUR6 OF APPLICAN ai DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 06 14 IREV 9196) <br /> I <br /> I <br />