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9166380287 T-840 P . 02/02 10b-6o6 <br /> WR-31 -9S 08 : 24 From : 11CLARER/11l, , ENVIRON ENG' S <br /> i�(.lK� I lIQ/1 ti <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> VUBLIC RECORDS RELEASE APPLICATION ^ Z <br /> PHONE NO ii <br /> i <br /> APPLICANT 2 <br /> ADDRESS Ikk 1CCf�f PHONE NO <br /> AGENCY IiRME a <br /> ADDRESS r n � � S r • <br /> ttt + + rta + # + tia * * aaa * a4tt + ttt �' + * tt * i + * * r + + * * a * t # attttt * * tat * + aaat * <br /> RUS11M°CS NAM33 // pROG$AM QR <br /> FTILT �—j%DD9,39T <br /> FACSLI' VPF OF 'ZI5 <br /> cvy��✓ le, - <br /> o .r <br /> I Lk�xl <br /> kt V� , <br /> + + t + tt + * ttttaa # tt + t # + t # tat + + + # + a + t # r + ttta * + t * * * tt # * * + r * tt * *a + t + t + <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHOI POLICY 494.007 , ORDINANCE- CODE OF <br /> SAN JOAQUIN COUNTY - <br /> ITCCHARGE RESOLUTIONS. STATE WATER CODE* <br /> GOVERNMENT CONNDH6 EVIDENCE <br /> 1 . A MAXIMUM OF LE_N, f 10 PREMISE ADDRESSES PER NEOUEST <br /> 7 . PUBLIC FILES/RECORDS REti/lEW IS IiY APPOINTMENT ONLY- APPOINTMENTS ARE PROCESS - <br /> ED PU CALLING )" ECURDS RE0. OFFICE HOURS FOR APPOINTMENTS ARF SC) IEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8: 00 AM TO 12:00 NOON AND 1 :00 TO 4:30 PM. <br /> 3 , A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED , <br /> URNED IN THE nAMIN� ONoMON <br /> S RECEIVED WILL <br /> 40 CORRECTED FIBY THE ORE)S NOT RENT EHO STAFF AT THE EXPENSE OF THE CAPPL CANTA 71115 ADDITIONAL <br /> BE <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EtiD POLICY 94- 0071 <br /> 5 , ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHO PPRREMISES` . - . f <br /> SIGNATURE Of APPLICANT ���' <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE <br /> EH 00 14 (REV 9/961 <br />