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0191lf1 L1iVlrUill'iUrll1lL iL + L-1- - L _vJ .., i ce ��. . ,. -��-i 11 �.., �.. . - - --- - - -- <br /> SAN JOAQUIN COUNTY71 <br /> " PUBLIC HEALTH SARVICES <br /> HNIVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RRLEsASB APPLICATION' ; <br /> APPLICANTCr,�qvn V ONE, NQLAA3 <br /> ADDRESS 111-1 L�"++�.p+►�rr �ra.� �+ _ '. Mr�cl 1 L Q ; <br /> AGENCY NAMH PHONE NO <br /> ADDRESS <br /> # k*#iii'*i##i*ii*iiii*i*iii#*##iitiiii#�rIr+Y*iiilr�r**k****##*>ki#i4ii*i:k <br /> .L ADDRESS B.i1S,1iN S9NM81 PE09RA 'I O$ <br /> FACIU *y TYPE OF Ell& i <br /> pdL4it. �iC �?O!. 74x {3 J A moo' 'C -. AW-ell <br /> *fi#�eii***#crit****�rFi'#�tk*+k*t#itki#i'+Yr'ry"�'#iii#�rtiM*t**i!******it�eiriitit <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQVIN COUNTY, EMI) FEE AND SERVICE CHARGE RESOLUTIONS, STATS WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN JM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED 13Y GALLING 12091468-3420, OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM, <br /> 3. A PUDIC FILES/RECORDS RELEASE APPLICATION IPRRA! IS REOUIRED- <br /> 4, PUBLIC FILES/RECORDS 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 WILL BE BILLED TO THE APPLICANT FOR PAYMENT, ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ••Is/tw�lais/ai+4i�ws♦•Iw��iww7�fww�Mw♦���+��}�w�'�••��4�ii�a.�w�w1►w��ww4-ai• <br /> SIGNATURE OF APPLICANT `���,.. „•�_�___bA7E z� -9q9 <br /> SIGNATURE OF RELEASING OFFICIAL - DATE- <br /> EH <br /> EH 00 14 (REV 9/961 <br /> U <br /> 0(/4 } - <br />