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s��r jurQuTN ccf'TiT' ?[P PH 2 58 <br /> PUBL_TC HLA:,TH CERVICES <br /> ENVIROti_TMNTAL HEALTH DTVISION <br /> FL"BLIC F&CURDS R5LEASz APPLICATION <br /> ,h„�nElr �Jmcdrr <br /> APPLICA*'iT /L(AkFI_c' PHONE NO 5l�] 2 F 3crzj <br /> ADDP,c5$_ Y35`- •fof✓1<i( • J Lff 24u__LAF�fY' 2i CA_�'fiS <br /> AGrNCB NX4F, <br /> ALD RE:SS —. <br /> **w 4!** ik**kkx*trw <br /> FTJT L ADDRESS At;STNESS NAM; / PROI�FJ17-_OR <br /> Z-AciL_j_T_Y 'rYPR OF FILE <br /> 29e. {j MJ;!':}7 1-mj ' _T S_crxYN_rc=HCl - •��' LILY <br /> %-,I nt c4-.1,=t Sra<.:rxe/ Tnc., ,m3 I-A&14 — - <br /> 4'1.0 $C.aC:K St A_ !.'p C Ra r:'f(k•/ _ =TEPhfnf /.�nlr lJnf.4C,l� _ r .3'S. $-,s• <br /> 2-7111 0 /1IAR'It !-/4NEr5'TdrK7Ati J_rJ tcAt (r SPt'f �_ ^U$r.. •�1` .l-. <br /> x*##xXx*x XXXr# k *k*****tw+ k*k 44 k*#kk* *iAk* kk* i k AA ARi k Al.Ak *'k:F A••k A"xA, <br /> THIS NOTICE IS SU13JECT TO THE REQUIREMENTS IDENTI=IED IN THE PUBLIC HEALTH <br /> 5eKVICE5iFNVIrVNr4FN'l AL HLALIM DIVISION itt'tul POLICY X34.007, ORDINANCC COOC OF <br /> SAN JOACUIN COUNTY, EHO FEL AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE FV(DEMf_F COBE <br /> 1 . A MAXIMUM OF TLN 11101 PREMISE ADDRESSLS PER REQUEST <br /> 2. PUBLIC FILESiPFCORDS RCVICW IS BY APPOINT 4FNT pNCY. APFOINTMEIJTS ARE PROCESS <br /> BY CALLING (109)468 3420. OFFICE HOURS FDR APPOINTMENT5 ARE SCHF5 I(E6 5/10NIAY <br /> THRU FRIDAY EXCLUDING HOLIDAY„ 5.00 AM TO 12:00 ALOOPI AND 1:00 TO 4!,ZO 9M. <br /> 3. A PUBLIC FII_ESiRECORDS RELEASE APPLICATION (Fr%RA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME C01,101710N AS RECEiVCD WILL BE <br /> CORRECTFD BY THE EHD STAFF AT THE EXPE14SE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL. DE DILLED TO Ti IC APPLICANT rCC PAYPAENT. (SEF EHD POLICY <br /> 94- 007) <br /> 5. ORIGINAL PURL IC FILES;RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . . . ...... .. . if. .,... 1..}s ...._ .. .. . .,----..... 1-43 -.......««....... I . . . .w.. <br /> Cli:,ilA fIJ1iE OF AI'r'1.1CAN( r`-d•-oL" _� v�� <'--Y.. L'A7E z 61 9� <br /> SIGNATURE OF RELEASING <br /> EH 00 14 (REV 9199) <br /> cl�\410 � <br />