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i!�. a <br /> SAN JOAQUIN COUNTY �. <br /> Pusj'-lC HEALTH SERVICES <br /> ENVIRONNT IJEALTH DIVISION <br /> PUBLIC RECORDS RELIME APPLICATION <br /> . <br /> PFIONE 140 <br /> APPLICANT �_.4C,r <br /> p.DDRFsSS PHONI3 <br /> AGENCY NAME <br /> r ' <br /> ADDRESS <br /> • �+*f'�'***•R+�*.k*��•Z*�"�**+*{•+**�•+***+*'fit+* J , <br /> �**�**t�*tom*t,r*+r+*t*tfr♦ctyRnclZ�iM OR � <br /> SUS_j,NEa N L P <br /> F�t� E_ g YL <br /> _ Go ?e U5T 5 i al <br /> Zy <br /> 5 ;o S7.7 1 — 12GJ6. <br /> z <br /> MENTS IDENTIFIED IN THE <br /> UBLIC HEALTH <br /> THIS NOTICE IS SUBJECT TO THE REQUIRE <br /> (EH <br /> D1 POLICY #94-007,P <br /> 94 007,ORDINANCE CODE OF <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SAN JOAQUIN COUNTY, FHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CO <br /> 1. A MAXIMUM OF TEN IM PREMISE ADDRESSES PER REQUEST <br /> APPOINTMENTS ARE PROCESS- <br /> Z, PUBLIC FILESJRECOROS REVIEW IS BY AppOINTR APP ONLY 00 TO 4:30 PM. <br /> ED BY CALLING 12091 <br /> 46$-3420. OFFICE OURS FOR APPOINTMENTSDARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 MOON <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED RECEIVED WILL 13E <br /> 4. PUBLIC FILES/RECORDS NOT A YHE (PED ENSE OF THE APPLICANTTHE SAME CONDMON . THIS ADDITIONAL <br /> CORRECTED BY THE EHD STA <br /> SERVICE VALL BE BILLED TO THE APPLICANT FOR PAYMENT- tSEE EHD POLICY pR PREMISES. <br /> 5. ORIGINAL PUBLIC F1LgS/RECORDS S <br /> OT BE REMOVED FROM THE EHD <br /> t ♦ww•wwwa s.•.a.ta+w•www ++w•.tww►a+s••♦ <br /> DATE 2 17 � <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> SIGNATURE OF RELEASING <br /> ICTAL <br /> EH 00 14 (REV 9196) <br />