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{ 4upool � <br /> SAN JOAQUIN COUNTY <br /> PURL-TC HEALTH SERVICES <br /> ENVZRONMErq-rAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT e✓l% r�+ttlz PHONE NO 4(6 c � , � 3 to <br /> ADDRESS& w t �vrfir .2s`a /1ro�1'� Sac�gca.BN/+�� Cs¢ 9s'L►33 <br /> AGENCY NAME PIIONE NO <br /> ADDRESS <br /> **-Ar*#*#*****#*#*#•k'k***# k*'k**k*# rk*#***k#'k#k**ir*ir#ir***-k#ir*#***#*#* <br /> FULL ADDRESS BUSINESS NAME-1 PROGRAM[ OR <br /> FACILITY TYPE OF FILE <br /> j rr r++ �tfxo �crc�r�ZOO- <br /> � <br /> woZ lV1ca�rLr] Ua__ d- th f a y G of C 0.S _S 6!5:n �'3 <br /> ' �0 7 3, GciJ rn�o���� r^ Com- • <br /> 3rao S. ;�avr �o. n f7a� ,_ G` Scrv�Ce 5 FrovJ Hca tQ! ^ GassFaco" <br /> . � S. G 'C•r r N!a S t�� ]43 �-c_.��o+f�,,,,��r•4...(¢,�fp7tuor 4..�C� � — �+ '� o . <br /> -// J' . 5�n.{ S`ao3 _ w+ oµ�� fiCrt+4 1NC• �i m �af S�4It —"l <br /> (93. ' 6. <br /> < >(c r.� 7• Y . (> 6(— Gas s ct oy� /� <br /> S, s• C c <br /> r r T nn�- (�[i�itr Gal <br /> k <br /> k* k k i #**k 'k1yF kk# k*�I k* k*i k # ki 'kA * ! kkk*#it k rA k*k* k * k # k { kir# k�ei ** 1r* lr <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDENANCE 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 OF TEN LjoI PREMISE ADDRESSES PER REQUEST <br /> 2' PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (20[91468-3420. 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 (PRRA) IS REQUIRED. <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. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILE:SIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .v�ee'^TJr ►1 .... <br /> Faa f a a a 1 a t a...............aas.ataa1aaai4 <br /> SIGNATURE OF APPLICANT y PATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (FEV 9/96) <br />