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4-11-1997 3:4SPM TROM SIMPSON MOOPE. INC. 209 477 2874 P. 1 <br /> r7r'-?3-19x7 10�2SPM -RC � .�V <br /> Past-it'Fax Note 7671 // Wig► <br /> Co !/! <br /> Phony Phone x� <br /> Fax <br /> SAlq JOAWIN <br /> PUBLIC HEALTH •SERVICES <br /> i ZN",rIRONM ,YTAL HEALTTi DIVISION <br /> PUBLIC RECORDS PvLgME A.1PL(CATION <br /> / t <br /> APSPLICAN T' %�1►'�\ 1 PHONE NO / "7�3~� <br /> AMRRSS _: ' Lt <br /> WENCY NAME PHONE NO <br /> ADDRESS � <br /> FUS �sD37R£5S SGSIAlESS NAt+��/ PROGRAM OR <br /> 1 FACILITY TYPE dF FTLE <br /> } <br /> i <br /> 1 <br /> k#�###it*x�r•k#wwvcir,t#ttt*t*ik#**txkt,rxxx**,c:r::exaes+rs�e*it,t#,irttir it*##ti#kw <br /> TH>S NOTICE iS SUBIEC-'YO THE RECUIReAENtTS 1DENYTIFIED IN THE PUBUC HEALTH <br /> i SERVICES ENVIRONMENTAL HEALTH DIVISION (END) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, $iD FEE AND SERVICE CHARGE RESOLUTIONS, STATE'WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. .A MAXIMUM OF`M!V 01 PREMISE ADDRESSES PER RECUEST <br /> 2, 1PVBL.'C FILESMECORDS REVIEW IS 6Y APP'OII+I-tMENT OQNLY. APPOINTMENTS ARE PROCESS- <br /> ED�Y CALLING (209)48$-3420. OFr'ICF HOURS FOR APPOINTMENT'S ARE SCHEDULED MONDAY <br /> THRV FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 7:00 TO 4.30 PM. <br /> 3. ;Q PVKIC FILESIRECQRQS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. �"JBLIC FiLESIRECOADS NOT RETURNED IN THE SANTE CCNDtTION AS RECEIVED WILL BE <br /> i COSRECTED BY THE EHQ STAFF AT THE EXPENSE OF THE APIPUCANT. TI41S ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE Elam PREMISE& <br /> t <br /> ...T... 1AT41hyf7Y 1♦ rfff�f'r�1���1������1�������r���1�� MF1 •�1�►� <br /> SIGNATURE OF APPLI it y�7 DATE� <br /> SIGNATURE OF RELEASING OFFIC;AL DATE <br /> EH 00 14 (REV 91951 <br /> ; l <br /> TQTAL R.01 <br />