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e9�25/29ea 11:5a ?094b8`nd� FIFTH FLOOR PAGE a2 <br /> SAN JOAQUIN COUNTY <br /> PUSL7C RBA.LTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PGSLIC RECORDS RELSA.S E APPLICATION <br /> APPLICANT 1 i P-9ONE NO <br /> ADDRESS 1000 --Wca T�C<--%+cc'- C-tq- 76 -1 1 <br /> AG2NCY NAME PHONE NO <br /> ADDRESS <br /> .:UC'L ADDRESS RU'SINisSS NAMEZ PRO(0�P2-- t OR <br /> 'AC C7..C'C`Y TYPE OF FTL,E <br /> 7 7 cfcs' arc Ss d / .90 <br /> 40 <br /> 4--'s--0/ eke- 7--// <br /> THIS !NOTICE IS SUBJECT TO THE REQUIREMENTS JOE:NTIF19D IN THE PUiRUC HEAL-ii <br /> 5ERVICES/ENV;RONMENTAL HEALTH DIVISION POLICY #94-007, ORDINANCE COOS OF <br /> SAN .JOACUIN COUNTY, EHL7 FEE AND SERVICE CHARGE RE$QLVTIONS, STATE WATER CODE, <br /> GOVERnrM9rdT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUMt OF TEN jti0j PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECOROS REVIEW 15 BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091458-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AAA TO 12,00 (NOON AND 1.00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS R=LEASE APPLICATION (PRRA) IS REQUISED. <br /> 4. PUBLIC FILES/RECORD5 NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE 10JILL SE BILLED TO TH8 APPLICANT FOR PAYMENT_ (SEE EHD POLICY 94-0071 <br /> 5. OR;GINAL PUBLIC FILES/RECOFDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...............♦yy 1 M......... <br /> f f'f f r/tMra J.�J�.y�� rr+•rfrJil+la�1l•i <br /> SIGNATURE OF APPLICANTQA'TP <br /> SIGNATURE OF AELEASIJNG OFFICjAL v DATE <br /> EH 00 14 (REV 91961 <br /> Z@ 39Vd IV3 VGL9ZE9VIL ZZ=ZT 03OZ/GZ/50 <br />