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kJd ' -Ad 14=UJ H t HA 7✓xYJr n %F ri t r;- --- <br /> i <br /> -0Sv <br /> SAN JOAQUIN COUNTY q• _ <br /> PUBLIC HEALTH SERVICES r '"' `� F,• <br /> ENVIP-ONTVXNTAL HEALTH DIVISION <br /> PUBLIC RECORDS R2LEASE APPLICATION <br /> ar <br /> APPLICANT 6�C SAW �.�i`�C�[.1 PHONE NO2CA) � rJ'- 1b� <br /> A60RP-ss Arzib-b )m- s"Lle4witA. O e� 2[ v T.r'Re Se4u, co, <br /> AGENCY NAME PHCNE NO <br /> AJ60RESs <br /> t** Y*:lt�#*•ti•tw*****it*•kiF*ttttttttrYf*tY?til'###ii4t#t**tit yl It tt YC Yt•k#t'yFtit <br /> EULL ADDRESS BUSINESS QRQGR�I QR <br /> TYPE OF tF II..E <br /> q gl C�►. b`s� ��@KYM't L. '�Lew� <br /> + �# ,Mr*+�t*��,r**t*,r#**tt#++***�+*�t*++t��,�tti•,r+#+#*#*+*ir•*t#��+,�+*#+ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SiERVICEESIENVISONMENTAL HEALTH DIVISION (EHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS. STATE !NATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. :PUBLIC FILESIRECOROS REVIEW IS BY APPQI TM N QNLY. APPOINTMENTS ARE PRCCESS- <br /> ED BY CALLING (209)468.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOUDAYS. 8:00 AM TO 12,00 NOON AND 1:00 TO 4:30 PM. <br /> 3. 'A PUBLIC FILESlRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. ,PUBLIC FILE&RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL. BE <br /> COPRFCTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD PCLICY 94- 007) <br /> 5. ;ORIGINAL. PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHO PREMISES- <br /> ............ <br /> REMISES_...♦♦....+-• <br /> SIGNATURE OP APPLICANT oa , �•` DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (HEV 91961 -- <br />