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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> {{ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLL. <br /> ICANT AtARte-'RlA "-,lKIa" (I�L�Gr PHONE NO C`lLe) 3Lw'1701 <br /> ADDRESS'_ 30-T-i e- Ve- C4fo-'kAv GYM R58 <br /> AGENCY NAME PHONF NO <br /> ADDRESS <br /> r' $USINESS NAKR/ PROGRAM 0R <br /> Al %fed 0" ^ M^"(^° FACILITY TYPE OF FILE <br /> ISn,r_ xn 5. :SPrer-yetis lR8. _ JVre&J5 �AW 17-), AM-kLA rp��l I I Ikvc�.V <z9. (e u <br /> 7-1....rf) ejrodu 5Prr6Kcl,s- �,v,tFc.�:l�•h.� hll !�✓n:..e <br /> 9 l iu a �c�wzw C la UST P ' <br /> I iu t3 f. 5rm>ite. ( et r mu n r g- f ` <br /> S <br /> _ C <br /> ez' <br /> 3av s AIM. — isT <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHDI POLICY 994.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS / <br /> BY CALLING (209)468-3420. 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 PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILESJRECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THF APPLICANT FOR PAYMENT. ISFF. EHD POLICY <br /> 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> afaMaY......aafawa.a. �r'a 1.•,}aa• ......•......af+.a•.a r.ar••a.a.a.••a. r. <br /> SIGNATURE OF APPLICANl'_� -DATE c <br /> SIGNATURE OF RELEASING O 1 IAL DATE _ <br /> EH 00 14 (REV 9/96) <br /> t <br />