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63902E7 • T-840 P.02/02 job-6o6 <br /> 14hR-31-99 08:24 From:LICLAREA/h... . ENVIRON ENG'S 916 <br /> r► do eu.v c Ucutf� <br /> }U.ri-cLro��`�s 99-077 _ <br /> SAN SOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMfiNTA.L HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO '1161 �-y <br /> ApPLICAN,r <br /> ADDRESS �� r'� < ' PHONE N0 <br /> AGENCY NAME <br /> ADDRESS <br /> +t#+t .t#+++ t•tttst##+++##++trt++tt:t#t*+t*#+###tttPROG#+�M OK+tt++ <br /> aus <br /> *+oC4 NANff•' TVPr= OF�'SLfi <br /> ):'TlT L AD�+Z CSL <br /> ;hT pZ fr., <br /> S4. <br /> r#.ytttrt+++i#++r+++#rti##tt+a+{++tt#++ttt+tttt+Yt#tt+f'##t#*+ttttx <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHOI POLICY 194-007. ORDINANCE CODE OF <br /> OUNTY PHO FFF ANO SERVICE E <br /> GOVERNMENT CODE AND THE VA ENCS CODE,CHARGE RESOLUTIONS. STATE WATER CDU[. <br /> I_ A MAXIMUM OF JE—N (101 PREMISE ADDRESSES PER REQUEST <br /> IT ONLY. APPOINTMENTS ARE PROCESS <br /> 2.ED PUBLIC FILFSIINF IRE 4RD-3S REVIEW <br /> OFF CE HOURSIFo^- R APnffWPQIN QTS ARE SCI+Enl1LED MONDAY <br /> IS jiY TO 4:30 PM. <br /> THRID FRIDAY EXCLUDING HOLIDAYS, 3:00 AM TO 12:00 NOON AND 1:O0 <br /> 3, A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> OT RETURNED jfkj THE SAME CONoMCN VED WILL <br /> 4, PUBLIC <br /> ED BY THE RLESiRECORDS <br /> D STAFF AT THE EXPENSE OF THE APPLICANT. THIS AI DITION BE <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE END POLICY 94 0071 <br /> CLv10VE0 FROM THE EHD PREMISES <br /> 5. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE R :-'.. <br /> ... . ............. <br /> .............. DATE <br /> SIGNATURE OP APPLICANT OATE___ - <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 91961 <br />