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f , SAN LTOAQUIN COUNTY ` <br /> PUBLIC HEALTH SERVICES ,, :x <br /> ENVIRONMENTAli HEALTH -DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT (�ITNy %ZED PHONE NO �9/!/,S7a4-2Z0C� Y <br /> ADDRESS 12-3 Sam GA P k/f <br /> AGENCY NAME _At,?,4Zo1 PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> 30Z jJes7 We7wz kl000leuw ,(�[- , om4fa cTe. <br /> 44r, W&ST ex. 'Tr klAor-in jnzy -1q <br /> 4OZ WC57 A168W— CIL4Ar2V4s e./c/SF 14 <br /> 44813O� le/ G) LJ h4EEe7z 5T Ymn,1 _2 l-� <br /> j!03 9 ,!5AW7w U,✓tpc,J EDWA�eO PT3f Z 7 n <br /> 333 7NGEB420 46VEIE WWreer LAIr )V/1t 147_F(f!lf , . <br /> 206- All cENroe. 1weo 23 .JC K <br /> ¢DS Al. L./n/L04,✓ TC. Aorsel✓ �.i77�.5�✓iGB" <br /> 4l/ Al. A4,lA11f6 5,,6 A ✓r-o6wy <br /> 4Z4 Al, 04A/ fiiieFi✓ rxAse cgE-oerIzET vS 3a <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 494-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN 110) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE r `; <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> <t <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES <br /> aaa++aaa+a <br /> at+a+aaaaaaaaaa +a a+t++ +♦ ++ •+a+tt a+a+aaa+a+a a+a +at+++tt+++t- <br /> SIGNATURE OF APPLICANT DATE 312 <br /> S 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE . _ <br /> EH 00 14 (REV 9/96) <br /> Srl _ <br />