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FROM : GEO-PHASE ENVIRON" L INC PHONE 1.10. : 209 569 9295 GC yw i�L Fy12 <br /> �L•E, r�5� ��Pt� l�r t .. <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEAL"I-H SERVICES <br /> ENVIRONMENTAL IIEAI;I•H D T V I'S TON <br /> M18LIC RECORDS RELEASE APPLICATION <br /> APFi,ICAN"r � S_� +�1 L HoNr, NO 2-09C� g (:9 2- 3 <br /> ADDRESS <br /> AGENCY NAME -171--P —=k PHONE &0 _- <br /> ADDRESS <br /> *i k*** *4 1, k* k a A�,i a a♦*L i L L*a a t# k*#i t*i i a i i t*t#t## # * •t*t t#i t*#*** k <br /> FUL _, A-DDRESS QUSINESS NAME/_ FIR <br /> FAC'TLITY JYPE OF FIDE <br /> T 406c <br /> I b rv. to.n h4Er St1.Nwa,t �,.►ao Usk w'S <br /> Lh?w 4F tt�E- J-J_. - �-A <br /> 1-70o E LaytS� AVS CBS-- " • - ,� <br /> a i i a. Y a t i#t a#* <br /> THIS NOTICE IS SUBJECT TO T11C REQUIREMENTS IDENTIFIED IN TP9 PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94 007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND GCRVICE Cl TARGE nESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF M (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVILW IS 8Y APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> CD DY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THIAU FRIDAY EXCLUDING HOLIDAYS, 0:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS nEQUIRED- <br /> 3. PUBLIC FILESIRECORDS NOT RETURNED IN T1IC SAMC CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TINS APPLICANT. THIS /ADDITIONAL <br /> SERVICE WILL BE BILLER TO THE APPLICANT FOR PAYMENT- ISEE EHD POLICY @4 0071 <br /> 5. ORIGINAL PUBLIC F-ILES111CCORDS SHALL NOT BE nEMOVED FROM THE EHU I'1IEMISES. <br /> .. ...... ............. .tr.......... ... a a..r..• • . . . ................... <br /> SIGNATURE OF APPUCANtI�- <br /> SIGNATURE OF RELEASING OFFICIAL __DATE <br /> EH 00 14 (REV 9/961 <br />