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9166380Z8i T-340 P 02/02 Job-656 <br /> 641R-31-99 08:24 FromaACLAREII/H..... ENVIRON ENG'S <br /> e v' 6,-) <br /> t <br /> FF-077 <br /> SAN UOAQUIN COUNTY <br /> pUBT,IC HEALT11 SERVICES <br /> 9NVIRONMENTAL, HEALTH DIVISION <br /> VUBLIC RECORDS RELEASE APPLICATION ^y�� <br /> PHONE NO ,l XS�I <br /> APPLICANT C`rt <br /> ADDRESS t\1Ul } pIIONIs NO <br /> AGENCY NA1{ <br /> 4 7 \ <br /> ADDRESS <br /> RTTSINRSS KAMEf �- <br /> FUL-L,_ApDR`,$-a FACIL�S� TYP OE IZt� <br /> T��Z ICwt.tl�•/� Sia � �_ y i\l�. <br /> ++{-1rt+tirtt+##,�r•1'�r###ir### t+i,ttx#,tt+tic## <br /> THIS NOTICE IS SUBJECT TO THE R OUVIS ON IEHENTS DI IDENTIFIED.19 oo7, ORDINANCE HEALTH <br /> COOL• <br /> SERVICESiENViRONMENTA.L HEALTH <br /> SAID JOACIUIP1 COUIVTv. I=ND FEE AND SERVICE CHARGE <br /> RE'C`LLTIa�IS. STATE WATE'x <br /> GovERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN ilJ0 PREMISE AU()17FSSES PER REQUEST <br /> ARE PROCESS <br /> 7. PUBLIC FILES1REC�RR-3ti2Qi O F CE HOURS aRr-�DONTME APPOINTMENTS A FCl`DtJLED MONDAY <br /> ED 8Y CALLING 1209 <br /> T} <br /> {q{,j FRIDAY EXCLUDING HOLIDAYS, £3:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC F1L.ESIRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> VED WILL <br /> 4, PUBLIC F4LESiRECOR175 NOT RETURNED <br /> EXPENSE GF THE OppL1CANTA THIS I�IDDITiUNALBE <br /> CORRECTED 0Y THE E}iQ STAFF AT THE <br /> NT FOR PAYMENT. (SEE ENO POLICY 94' 40 <br /> 71 <br /> SERVICE WILL HE BILLED TO THE APPLICA <br /> 5. ORIGINAL PUBLIC FILESMECOnDS SHALL NOT BE I•IEMOVED FROM THE EHO PREMISES_ <br /> ......... ............. <br /> .......................... DATE <br /> SIGNATURE OF APPLICANT _ <br /> DATE <br /> SIGNATURE OF RELEA51NG OFFICIAL <br /> EH 00 14 (REV 91961 - <br />