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SAN 10AOUiM-COUNTY <br /> PUBLIC f ]ZALTH SERVICES <br /> BNVIRONMBNTAL R ALTA DIVISION <br /> 1f��PUBLIC REC©RDS RELEASE A PLICATION <br /> A 3PLICANT I /ko;" /' PHONE FCS y!'7�(o <br /> ADDRESS 4—M <br /> Afd S PHONE NO <br /> AGENCY NAME `. <br /> X. <br /> ADDRESS <br /> - +k*lkttflr�rirtirtik*lttirit,tir�kiFft�tw9r'kr4lrk�rrkieiexr�nr,kx��ieki'#t*fit**it#�'t'ItFir#,t* ° ' .._'..`t - <br /> ,L ADDRSS$ Bus=ms N FEW—RAM 0 <br /> FACILITY TYPE OF FILE <br /> I�ft�D WA n2 rL� -- <br /> t I�-fan as{rale. 3 <br /> ,'" ,�x*x�rirxxir+k7r#*ftlttlt*ietttttir**t*twir,tt*t**tt�rx�tr*,krir,rxxxrw+r*yry-wr�rt* . <br /> t THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY X94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY,.EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT COUE AND THE EVIDENCE CODE. <br /> 1_ A MAXIMUM OF TEAL L70� PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTIII ONLY.APPOINTMENTS ARE PROCESS- s' <br /> ED BY CALLING (209)4 -5420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THOU FRIDAY EXCLUDING HOLIDAYS, 8:00 SAM TO 12:00 NOON AND 1:00 TO 4:30 FM. <br /> 3. A PUBLIC FILESIRI=CORDS RELEASE APPLICATION (PRRA) IS REC"RED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> " CORRECTED BY THE l:HD STAFF AT THE EXPENSE OF THE APPLICANT., THIS ADDITIONAL,.. <br /> SERVICE WILL.SE BILLED TO THE APPLICANT FOR PAYMENT- (SFE END.POLICY 94-407) <br /> 5. ORIGINAL.PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> _SiFr: <br /> •!a!!1!!!!i!!!!y�liiAlil�lriiM lF •!!i!i ! !!i!!!!!r il�+Yiiii!!!!l iiilry!!i- - - <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9196) - <br /> i ,t <br /> . r <br /> rtml All AMM Lgru -j Wr4GIC:v, I FZR 1---v7—1 L- si ii2 <br />