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1 <br /> SAN JOAQUIN COUNTY <br /> PLMLIC HEALTH SERVICES <br /> ENVIRONMENTAL HBALTH DIVISXON <br /> PUBLIC RECORDS REL&ASE APIPLICATION <br /> APPjrIC�1N`T' G_�`�1`�ln•cJ�� -�/1�_ <br /> -PHONE NO <br /> ADDRESS ri 7i �d <br /> AGENCYI�fAML� A ONE NO f- <br /> yf.ra.ftsw•+##* ►Yr,vyY t x /tx�tiir# i kiY# kt## rt*itt#7rf #iititit+rrxrsr:tsrztt <br /> FULL l4.CDRESS <br /> t <br /> PACIT,ITY TYPE QF FZLF_, <br /> i <br /> �rrvr�eirix+tzifiri.t#ttt-tt�+wr►rxtwt,Mw,v,Yxtxf-t*#t#+i },rtt,r,t•txtir,rx•ic•k###it if,tt <br /> THiS.NOTICE IS SUt3JECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD1 POUCH' #94-007, ORDINANCE CODE OF <br /> SAN POAOUIN COUNTY, END FEE AND SERVIC:CIIAAGC R�SOLIJT(ONS, STATE WATER CGDE. <br /> GOVERNMENT CODE AND THE EVIL NCE C0011- <br /> 1. <br /> 0011-1. A!MAXIMUM OF TEN LI. PREMISE ADDRESSES PER REQUEST <br /> I <br /> 7_ YVBt.)C i=ILESIRECOR05 REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 0 CALLING (209)468-3430. OFPiCI= HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRO FRIDAY EXCLUDING HOLIDAYS. $:00 AM TO 12:00 NOON AND 1:00 TO 4!30 PM. <br /> 3. AiPUBLICFILESIIIECORDS RELEASE APPLICATION (PKRAI 15 REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 95 <br /> CORAECTEO BY THE EIiD STAFF AT THE !:}CPENSE OF THE APPUCANT. THIS ADDITIONAL <br /> SFRVICF WILL Ste BILLED TO THE APPUCANT FOR PAYMENT. (SfiFs END POLICY $4-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 13E REMOVED FROM THE ENO PREMISES. <br /> i .. <br /> ...........♦-���f11 ������A i�� 1��T"" +t 11�A��1����1• V•+��? <br /> SIGN O.TUFIE OF APPLICAANTrl �/ _J YE <br /> SIG1 4TURF OF REL>_AS7N(G OFPICIA DATE <br /> EH 06 14 (REV 9/06) <br /> TOTAL- P.02 <br />