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FRJ'l o Phase Environmental I•- FH:� N0. . 20956902955 Tiec:. 22 1999 11:?5W9 Pi <br /> �� <br /> e. . <br /> q'9 - 35'? <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT IA14. _PHONE NO OLS) ,f,&q GSR 3 <br /> ADDRESS�-3:7. jlf.NCtMA A-u,5-.& 8Z_q ] dv���M1�Iv e-A <br /> AGENCY NAME E f{p PHONE NO : 04 4)1,'9- 0133 <br /> ADDRESS <br /> ********#*'A'•k*If'k'k'k•kk**ir**'k•k****•k*******iC t'k*'k*¢••k'k***yk****•kir******#* <br /> FULL ADDRESS BLT$IIVESS }VALRE PROGRAM OR <br /> �J_ r FACILITY TYPE OF FILE <br /> 1111 t�u_ J>t tr-�_ 4E SGA cov1 <br /> 2 13 `�OSc t SIciZ2F� t;A �T LIt �7qt tAla 0214. �_.. <br /> kA 'kk***#**ir*-**#*'k'A"�"a"k ilr'A"k l t***.F**•k**ir**-k�r a4 V'k'k','k+1•d''Y•k iG-dr*#***•k******•k ilv <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION tEHD) POLICY x`94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGI= RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN J1D PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW 1S 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, 8'00AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> Q• PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHb STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE PHI) POLICY 94- 007) <br /> 5, ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .sa•.asysaa ..•.•••f.•. .......ff <br /> 7 <br /> SIGNATURE OF APPLIC/1NTclr�A�Zb C_ °'� _DATE �� s <br /> SIGNATURE OF RELEASING OFFICIAL ._DATE u <br /> EI-I 00 1 1; (REV 9/96) <br />