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r <br /> SMI JOAQUIN COU TTY <br /> PUnLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISXON <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP I I CAN`F_Gr` 2�� �—�- PHONE NO <br /> ADDRESS <br /> AQE2ICX NAME P 5KE N �' eV ayLY:-- r U' <br /> ADDRESS 74:V 4, <br /> *xittiy#tt**ir5rilpq�* �r /�1e*x'st*rri�il'# #tttat*#t#tki't�►dtirttxi'xrssraara*it <br /> FULL ADPRESS (/ E! z�r rfA ;L PR4G OK <br /> yyiy #y*#*ttrr��+tttitix*trrrtitlrwrkil**xxx#**#t;tfttrtx� vrxr*�ryrt*t*,tf +F t# <br /> THIS:NOTICE IS SUFUECT TO THE REGUTgEMENT5 IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVIC1=SIENVIRONMENT'AL HEALTH DIVISION 9EHDl POUCV #94-007, ORDINANCE CODE OF <br /> SAN POAOUIN COUNTY, EHO FEE AND SERVICE CHARGE R 'S0LS11"IOVS, STATE WRIER COtaE_ <br /> GOVPRNMENT CODE AND THE! EVIDENCE COOP- <br /> 1. <br /> OOP.1. A!MAXIMUM OF TEN AD PREMISE ADDRESSES PER REQUEST <br /> i <br /> ?_ F'lJfi!_lC F iLESlRECORDS F;tk1lllrW IS BY AppojUIMPVT OiuLY. APPOINTMENTS ARE PROCESS- <br /> ED B� CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> TI•iRU FRIDAY EXCLUDING HOLIDAYS. B:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM_ <br /> 3. A;PUBLIC FILESIRECORDS RRI-EASE APPLICAMN (PHRA) IS REQUIRED. <br /> I <br /> 4. PUBLIC FILESMECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL SE! <br /> CORRECTED 8Y THE r m[) STIFF AT THE EXPEInISE OF rHE APPLICANT. THIS AI]OITIONAL <br /> 5FRVICF WILL 8E BILLED TO THE APPLICANT FOR PAYMENT. (Sse EjHD POLICY 94-007) <br /> 5. ORIGINAL Pt1BLIC FiLE51RECOR07S 514ALL NOT BE REMOVED FROM THE EHO PREMISES. <br /> -- ........... <br /> + f•s a w 4 a f f r • r f+ f <br /> ...... .... f w t+w <br /> SiGN54TUfi@ N F OF APPLICATE <br /> � r DATE <br /> SIGF 4TURE OF RELEASING OFFICIA .« <br /> EH 00 14 (REV 9/961 <br /> r <br /> TGTAL P.02 <br />