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1 <br /> 99-152 , <br /> i <br /> E <br /> f <br /> SAN JOAQUIN COUNT! � <br /> PUBLIC HEALTH SERuI:.'r.rS 1 <br /> ENVIRONi mrrAL HEALTH•DIVISIOI'd <br /> PUBLIC RECORDSREL.ASB APPLIC2ITION <br /> APFLIQtrrr Cil\,i K}� _PHouz NO z01F-333 �Ir7 <br /> ADDRESS 0(o .a <br /> AGENCY NAME.� ar, <br /> ADDRESSSc��aa S r.ro5 PHONE <br /> I <br /> w♦.t!!f"t#rrtttt.#t•#tttrfyr#tit*###ttYYYt# <br /> ltrrYtY#s##ttt ttYY#y'YrfiYf <br /> FULL ADDRESS HC INrSG [YpuhL`-_/ . <br /> - � PBQGRAZ`i OR r <br /> ------------ <br /> --------------- <br /> • `I� �� � Gas s�.��o., <br /> i <br /> i <br /> t#tiYtlliMlY-!wti•#!ft!!t!r!t!t#r#fr•►!*#Y#r . <br /> _ .. '#'#fl�'ltyt*1Y'fttY1'Y!`t##t It f•#i7! <br /> TNts rvoTrCE)5 Si18{E!'T-..M THE REa.UtRED,1ENTS IOEiVi'IFIF?iI+!THE PUt3LiC HEALTH <br /> `SERVTC=S/EN-vmD"M <br /> HEAL-iHOri1S1On [EHOI POLICY 391-O07,'ORDINANCE CODE OF <br /> SAN Jeaa(my Cot,7uTY'QlU FEE.1ND Sc�tVICc C!{eWGE AESOLI1TIOluS, STATE WATER COtJE, <br /> GOVERNMENT COOS AtTHE EVIDENCE CODE <br /> 1. A 1aaX1MUM OFi PREMISE AOORESSES PER REQUEST <br /> Z. PV8LIC F?EZS/REC-gRoS REVIEW IS 8Y'APPQU�M <br /> ED �' CALLING(2091458-3420; OfFlCEHOURS FOR AppQ TM APPOINTMENTS A� PROC'dS5- . <br /> TItRtJ FRlOi4Y EXCLUDING HOUDAYS. 8:00 AM TO lZ:OO NOCK AND 1:00 TO4:30 ENTS ARE MOI1lDAY <br /> 3' A PtJf�X'M-ESIRSCORDS <br /> • RELEASE APPLlCA1'iON IPRRJI3 IS iIEQ(1(RED_ � <br /> 4. FILE'SIRECORQS NOT R <br /> CORRECTED 8Y THE Hi0 STAFF gETTURNEfJ T14E SAME CONDPTION AS RECEIVED WILL Be <br /> SERVICE 1NlEj Be gILL£D TO THE E DENSE OF THE APPtiCANT. THIS ADDITIONAL <br /> THE.APPUCANT FOR PAYMENT. ISE=-El4D PQLI{;Y 94-4071 <br /> 5. ORIGINAL PU8LtC FlLESMECORDS <br /> ......... �SHALL k0 REIMOVEp MOM THE Elie PREMISES. <br /> SIGNATURE OF APPLICANT > <br /> DATE �� <br /> SKGNATEIRE.OF Re-EASING OFFICIAL / E <br /> C"OQ 14 (REV 9/96? DATE" <br /> f <br /> TOTAL P,a2 <br />