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11/LIZ/8d null 1-j.a'' rAx T.Vi._z <br /> COPY <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ' <br /> PUBLIC RECORDS R$LBASE APPLICATION <br /> APPLICANT T�iV�,F <br /> ADDRESS 7�L PHONE NOgy -Z7-1 <br /> AGENCY NAMES <br /> ADDI2SSS /N�. PHONB NO <br /> *#Y#t##tt*#!#*##t*•*'##t##t#t*t*t##t#*t##t*t#**##rtk#���*` *#•F# <br /> FULL BUaINESS NAME/ PROGRAM OR <br /> ✓�_ FACILITY TYPE OF FILE <br /> 7— <br /> / lam/ i[1�7.�iJ/s�r-n _11�CGd <br /> t#,k##+t#t,rtrt,4##t#t###**##,�r•r#*#t#1r#rr**t###***ft*#t#,r t•#+Y*#+tvr###ir,tr <br /> THIS NOTICE IS SUEJECT TO THE REQUIREMENTS fOrNTIRED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY 094-007, ORDINANCE CODE Or <br /> SAN JOAQUIN COUNTY, EHO FEE AND SE=RVICE CHARGE RESOLiJTION5, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF IM (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APP'OINTNIEN NLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420, OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3- A PUBLIC FiLES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC RLES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE'EHD POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> f•�i�a•�s•s��••�t•4�s�•i 7•��r•a•�s •�a�s�a���•f r��s��a���a s�♦•���e a!•���i r <br /> SIGNATURE OF APPLICAN <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FN 00 14 (REV 9/961 <br />